NPIMap

Individual provider Active NPI

Sumedha Sanjiv Dalvi, M.D.

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1255400321
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9800506 Issued in NC
Practice address
5085 Morganton Rd
Suite 100
Fayetteville, NC 28314-1497
Phone
(910) 864-0689
Fax
(910) 864-3747
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9800506 NC Primary

Addresses

Primary practice location

5085 Morganton Rd
Suite 100
Fayetteville, NC 28314-1497

Mailing address

5085 Morganton Rd
Ste 100
Fayetteville, NC 28314-1497
Phone (910) 864-0689

Other identifiers 2

IdentifierTypeStateIssuer
861015XMedicaidNC
432024077OtherNCTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031107000412 NC Practitioner - Internal Medicine 3870406663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cumberland Medical Associates PCGroup PAC ID 6608788336, 2 clinicians

Practice addresses (Care Compare)

2125 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3754
Phone (910) 864-0689

Hospital & facility affiliations

  • Amedisys Home Health of Fayetteville Home health agency, Fayetteville, NC, CCN 347132
  • Aveanna Home Health Home health agency, Fayetteville, NC, CCN 347241
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800506NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Medical Associates, PC Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Cumberland Medical Associates Current Accepting new patients

Locations

5085 Morganton Rd
Ste 100
Fayetteville, NC 28314
Phone (910) 323-3890

2125 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 223-0729

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 and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1255400321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 MORGANTON RD",
            "address_2": "STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141497",
            "telephone_number": "910-864-0689",
            "fax_number": "910-864-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 MORGANTON RD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141497",
            "telephone_number": "910-864-0689",
            "fax_number": "910-864-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALVI",
        "first_name": "SUMEDHA",
        "middle_name": "SANJIV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861015X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  ID",
            "identifier": "432024077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.