Individual provider Active NPI

Raja Sekhar Vadlamudi, M.D., M.P.H,

  • Gastroenterology Physician
  • Cary, NC
National Provider Identifier
1316067754
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2010-00538 Issued in NC
Practice address
929 Kildaire Farm Rd
Cary, NC 27511-3922
Phone
(919) 783-4888
Fax
(919) 783-4887
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010-00538 NC
Gastroenterology Physician 207RG0100X 0101260004 VA
Hospitalist Physician 208M00000X 2010-00538 NC
Gastroenterology Physician 207RG0100X 2010-00538 NC Primary

Addresses

Primary practice location

929 Kildaire Farm Rd
Cary, NC 27511-3922

Mailing address

929 Kildaire Farm Rd
Cary, NC 27511-3922
Phone (919) 783-4888

Other practice location 1

2601 Lake Dr Ste 201
Raleigh, NC 27607-6689
Phone (919) 483-7888

Other identifiers 8

IdentifierTypeStateIssuer
1316067754MedicaidVA
145JXOtherBCBS
9571069OtherAETNA
5906677MedicaidNC
810608OtherPARTNERS
3810009017MedicaidWV
199216OtherMEDCOST
Q0089GMedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000448 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 0840390399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

2601 Lake Dr
Suite 201
Raleigh, NC 27607-6689
Phone (919) 783-4888

3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-7856

Hospital & facility affiliations

  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00538NCMDGastroenterology Physician
0101260004VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Wakemed Specialists Group, LLC Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
Raleigh Medical Group, PA Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Wakemed Specialists Group, LLC Gastroenterology Current Accepting new patients

Locations

929 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 341-3500

530 New Waverly Pl
Cary, NC 27518
Phone (919) 233-3959

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

2601 Lake Dr
Raleigh, NC 27607
Phone (919) 783-4888

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

2600 Atlantic Ave
Raleigh, NC 27604
Phone (919) 881-9999

3024 New Bern Ave
Fl 1
Raleigh, NC 27610
Phone (919) 350-7666

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1316067754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113922",
            "telephone_number": "919-783-4888",
            "fax_number": "919-783-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113922",
            "telephone_number": "919-783-4888",
            "fax_number": "919-783-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Lake Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076689",
            "country_code": "US",
            "telephone_number": "919-483-7888",
            "fax_number": "919-483-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADLAMUDI",
        "first_name": "RAJA",
        "middle_name": "SEKHAR",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00538",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101260004",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2010-00538",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2010-00538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316067754",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145JX",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9571069",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906677",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "810608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009017",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "199216",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0089G",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.