Individual provider Active NPI

Priyank Chaudhary, M.D., MBS

  • Rheumatology Physician
  • Raleigh, NC
National Provider Identifier
1437447844
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2016-00501 Issued in NC
Practice address
11009 Ingleside PL Ste 303
Raleigh, NC 27614-6697
Phone
(919) 341-3603
Fax
(919) 341-3610
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2016-00501 NC Primary

Addresses

Primary practice location

11009 Ingleside PL Ste 303
Raleigh, NC 27614-6697

Mailing address

11009 Ingleside PL Ste 303
Raleigh, NC 27614-6697
Phone (919) 341-3603

Other practice location 1

540 North St
Smithfield, NC 27577-4016
Phone (919) 341-3603

Other practice location 2

530 New Waverly Pl Ste 301
Cary, NC 27518-7414
Phone (919) 341-3603

Other practice location 3

2601 Lake Dr Ste 201
Raleigh, NC 27607-6689
Phone (919) 341-3603

Other identifiers 8

IdentifierTypeStateIssuer
5140525OtherNCCIGNA
PO1948472OtherNCRAILROAD MEDICARE
19MLLOtherNCBCBS
6008043OtherNCAETNA
6282002OtherNCUNITED HEALTH CARE
271047OtherNCMEDCOST
NCV557BOtherNCMEDICARE
1437447844MedicaidNC

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
I20161221000700 NC Practitioner - RheumatologyPractitioner - Internal Medicine 1951682467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA Rheumatology CurrentSince Jan 1, 2021 Accepting new patients
Triangle Foot and Ankle Specialist, P.C. Past Accepting new patients

Locations

530 New Waverly Pl
Ste 301
Cary, NC 27518
Phone (919) 851-3480

11009 Ingleside Pl
Ste 203
Raleigh, NC 27614
Phone (919) 341-3603

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

11009 Ingleside Pl
Ste 303
Raleigh, NC 27614
Phone (919) 341-3603

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

540 North St
Smithfield, NC 27577
Phone (919) 341-3603

Interoperability endpoints

  • Direct secure messaging: priyankchaudhary@rcmg.allscriptsdirect.net

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 5

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": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1437447844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 INGLESIDE PL STE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146697",
            "telephone_number": "919-341-3603",
            "fax_number": "919-341-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 INGLESIDE PL STE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146697",
            "telephone_number": "919-341-3603",
            "fax_number": "919-341-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 North St",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774016",
            "country_code": "US",
            "telephone_number": "919-341-3603",
            "fax_number": "919-341-3610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Waverly Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187414",
            "country_code": "US",
            "telephone_number": "919-341-3603",
            "fax_number": "919-341-3610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Lake Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076689",
            "country_code": "US",
            "telephone_number": "919-341-3603",
            "fax_number": "919-341-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "PRIYANK",
        "name_prefix": "Dr.",
        "credential": "M.D., MBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2016-00501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5140525",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1948472",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19MLL",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6008043",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6282002",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "271047",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCV557B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437447844",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.