NPIMap

Individual provider Active NPI

Pragatheeshwar Thirunavukarasu, MBBS

  • Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1588717227
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2020-00591 Issued in NC
Practice address
1841 Quiet CV
Fayetteville, NC 28304-3985
Phone
(910) 323-2626
NPI assigned
Jan 18, 2007
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32436 OK
Surgery Physician 208600000X 2020-00591 NC Primary
Surgery Physician 208600000X 270472 NY
Surgery Physician 208600000X Q4861 TX
Surgical Oncology Physician 2086X0206X Q4861 TX

Addresses

Primary practice location

1841 Quiet CV
Fayetteville, NC 28304-3985

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

10109 E. 79th Street
Tulsa, OK 74133
Phone (918) 286-5131

Other practice location 2

910 E Houston St Ste 270
Tyler, TX 75702-8367
Phone (903) 606-4300

Other practice location 3

1920 Galleria Oaks Dr
Texarkana, TX 75503-4619
Phone (903) 792-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150901001796 TX Practitioner - General SurgeryPractitioner - Surgical Oncology 0749416014 Reassigns benefits to 1 organization
I20200527000422 NC Practitioner - General Surgery 0749416014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1841 Quiet CV
Fayetteville, NC 28304-3985
Phone (910) 829-6588

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00591NCMDSurgery Physician
Q4861TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 24, 2022 Accepting new patients
Cumberland County Hospital System Inc Surgery CurrentSince May 1, 2020 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Surgery CurrentSince Oct 15, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 24, 2022 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 1, 2020 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1841 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1920 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-6114

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

910 E Houston St
Ste 270
Tyler, TX 75702
Phone (903) 531-5300

Interoperability endpoints

  • Direct secure messaging: pthirunavukarasu283610@christushealth.direct-ci.net
  • Direct secure messaging: pthirunavukarasu80003@capefearvalley.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1588717227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043985",
            "telephone_number": "910-323-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10109 E. 79th Street",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74133",
            "country_code": "US",
            "telephone_number": "918-286-5131",
            "fax_number": "918-249-7532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E Houston St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028367",
            "country_code": "US",
            "telephone_number": "903-606-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Galleria Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755034619",
            "country_code": "US",
            "telephone_number": "903-792-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIRUNAVUKARASU",
        "first_name": "PRAGATHEESHWAR",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "32436",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2020-00591",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "270472",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q4861",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "Q4861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.