Individual provider Active NPI

Anjali Ram Thawani, M.D.

  • Surgery Physician
  • Raleigh, NC
National Provider Identifier
1457511412
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2021-00420 Issued in NC
Practice address
3100 Duraleigh Rd Ste 205
Raleigh, NC 27612-8105
Phone
(919) 784-2708
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-121688 IL
Surgical Critical Care Physician 2086S0102X 036-121688 IL
Surgery Physician 208600000X 2021-00420 NC Primary

Addresses

Primary practice location

3100 Duraleigh Rd Ste 205
Raleigh, NC 27612-8105

Mailing address

3100 Duraleigh Rd Ste 205
Raleigh, NC 27612-8105
Phone (919) 784-7874

Other practice location 1

1725 W Harrison St
Suite 810
Chicago, IL 60612-3841
Phone (312) 942-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address athawani674980@direct.UNC.nchie.net Direct

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
I20210414000240 NC Practitioner - General Surgery 2264694124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

3100 Duraleigh Rd
Suite 205
Raleigh, NC 27612-8105
Phone (919) 784-7874

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy33
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-00420NCMDSurgery Physician
036-121688ILMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

300 Ashville Ave
Ste 240
Cary, NC 27518
Phone (919) 415-1793

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

300 Ashville Ave
Ste 300
Cary, NC 27518

781 Avent Ferry Rd
Ste 214
Holly Springs, NC 27540
Phone (919) 567-6133

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3100 Duraleigh Rd
Ste 205
Raleigh, NC 27612
Phone (919) 238-5001

11200 Governor Manly Way
Ste 208
Raleigh, NC 27614

Interoperability endpoints

  • Direct secure messaging: athawani674980@direct.unc.nchie.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 1

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1457511412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128105",
            "telephone_number": "919-784-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128105",
            "telephone_number": "919-784-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St",
            "address_2": "Suite 810",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123841",
            "country_code": "US",
            "telephone_number": "312-942-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAWANI",
        "first_name": "ANJALI",
        "middle_name": "RAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-121688",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036-121688",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2021-00420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "athawani674980@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3100 Duraleigh Rd Ste 205",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276128105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.