NPIMap

Individual provider Active NPI

Nikitha Paluri

  • Internal Medicine Physician
  • Sanford, NC
National Provider Identifier
1467804237
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-02972 Issued in NC
Practice address
1411 Greenway CT
Sanford, NC 27330-6954
Phone
(919) 292-1878
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101269121 VA
Internal Medicine Physician 207R00000X 2024-02972 NC Primary

Addresses

Primary practice location

1411 Greenway CT
Sanford, NC 27330-6954

Mailing address

1411 Greenway CT
Sanford, NC 27330-6954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200416001723 VA Practitioner - Internal Medicine 7113260597 Reassigns benefits to 1 organization
I20241122001940 NC Practitioner - Internal Medicine 7113260597 Reassigns benefits to 2 organizations
I20260516000236 LA Practitioner - Internal Medicine 7113260597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

1411 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1878

Hospital & facility affiliations

  • Amedisys Home Health of Chapel Hill Home health agency, Chapel Hill, NC, CCN 347030
  • Liberty Home Care Home health agency, Siler City, NC, CCN 347309
  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-02972NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Nov 1, 2024 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Jencare Neighborhood Medical New Market, LLC Internal Medicine CurrentSince Apr 7, 2020 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC Internal Medicine PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878

1816 Doctors Dr
Sanford, NC 27330
Phone (919) 708-1555

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

1818 Doctors Dr
Sanford, NC 27330
Phone (919) 292-1201

200 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-3330

49 W Mercury Blvd
Hampton, VA 23669
Phone (757) 269-9980

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

Interoperability endpoints

  • Direct secure messaging: nikithapaluri@phmc.allscriptsdirect.net

Organizations & group practices 7

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 8

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1467804237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306954",
            "telephone_number": "919-292-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALURI",
        "first_name": "NIKITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101269121",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-02972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.