Active NPI
Nivetha Vishnuvardhan
- Hematology & Oncology Physician
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2023-01444
- Practice address
- 2076 NC Highway 42 W Ste 130
Clayton, NC 27520-5303 - Phone
- (919) 585-8833
- Fax
- (919) 585-8840
- NPI assigned
- May 24, 2017
- Last updated
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2023-01444 | NC | Primary |
Addresses
Primary practice location
2076 NC Highway 42 W Ste 130
Clayton, NC 27520-5303
Mailing address
5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2076 NC Hwy 42 W
Clayton, NC 27520-5303
Phone (919) 585-8835
2076 Veterans Pkwy
Suite 300
Clayton, NC 27520-5303
Phone (919) 585-8835
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7595
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Specialty Physician Services,Inc | Hematology & Oncology | Current | Accepting new patients |
| Johnston Specialty Physician Services,Inc | Current | Accepting new patients |
Locations
2076 Veterans Pkwy
Ste 300
Clayton, NC 27520
Phone (919) 585-8835
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
514 N Brightleaf Blvd
Ste 1100
Smithfield, NC 27577
Phone (919) 939-2192
Interoperability endpoints
- nvishnuvardhan1016181@direct.unc.nchie.net
- nvishnuvardhan546400@direct.medicine.duke.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Johnston Medical Associates Cardiology
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Smithfield, NC
- NPI 1801344395
-
dba Johnston Health Hematology & Oncology Physician Services
- Hematology & Oncology Physician
- Smithfield, NC
- NPI 1649786567
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johnston Health
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
dba UNC Hospitals
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1235667049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 PARAMOUNT PKWY STE 220",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2076 NC HIGHWAY 42 W STE 130",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205303",
"telephone_number": "919-585-8833",
"fax_number": "919-585-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISHNUVARDHAN",
"first_name": "NIVETHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2023-01444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.