Active NPI
Anjali Ram Thawani, M.D.
- Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2021-00420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 33 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-00420 | NC | MD | Surgery Physician |
| 036-121688 | IL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Surgery | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.