Raj Polavaram, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9801744 Issued in NC

Practice address

907 Kildaire Farm Rd
Cary, NC 27511-3922

Phone

(919) 319-6610

Fax

(919) 319-6365

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Park Urgent Care PLLCGroup PAC ID 3375873102, 2 clinicians

Western Wake Internal MedicineGroup PAC ID 3678599651, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed Home Health Home health agency, Raleigh, NC, CCN 347179
• Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Cary, NC
  • NPI 1871064949
  Medicare reassignment Care Compare group NPD
• Western Wake Internal Medicine

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1760523260
  Medicare reassignment Care Compare group NPD
• Western Wake Internal Medicine

  • Non-Pharmacy Dispensing Site
  • Cary, NC
  • NPI 1811209901
  NPD
• Rex Hospital, Inc.

  dba Rex Nutrition Services

  • Nutrition Education Nutritionist
  • Raleigh, NC
  • NPI 1821472572
  NPD (past)

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

• Wakemed

  dba WakeMed Home Health

  • Home Health Agency
  • Raleigh, NC
  • NPI 1467435842
  Care Compare affiliation
• Wakemed

  dba WakeMed Mental Health & Well-Being Hospital WakeBrook

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  Care Compare affiliation
• Wakemed

  dba WakeMed Raleigh Campus

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1972579837
  Care Compare affiliation

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1336289065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 GIOVANNI CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187106",
            "telephone_number": "919-319-6610",
            "fax_number": "919-319-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113922",
            "telephone_number": "919-319-6610",
            "fax_number": "919-319-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAVARAM",
        "first_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9801744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Plemmons
• David Wesley Pletcher III, MD
• Eliza Stanton Poe
• Alice Elizabeth Pohl, O.T.R.
• Abigail Poimboeuf
• Brian Edward Pomanek, PTA
• America Karen Ponce-Rubio
• Kiara Marie Pond, MS, BCBA
• Laura Elizabeth Pond, LCMHC
• Bhoomi Ponkiya

• Internal Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.

Verify at the official NPI Registry.