Active NPI
Nitya Panyala
- Hospitalist Physician
- Winston Salem, NC
National Provider Identifier
1629763248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2026-03066
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-9252
- Fax
- (336) 716-0030
- NPI assigned
- Apr 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2026-03066 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-0209
Other practice location 1
250 Hospital Dr
Lexington, NC 27292-6792
Phone (336) 238-4152
Other practice location 2
2525 W University Ave Ste 502
Muncie, IN 47303-3409
Phone (765) 747-4306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230630002696 | IN | Order and Referring Only - Internal Medicine | 6800255332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1629763248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-9252",
"fax_number": "336-716-0030"
}
],
"practiceLocations": [
{
"address_1": "250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "NC",
"postal_code": "272926792",
"country_code": "US",
"telephone_number": "336-238-4152",
"fax_number": "336-238-4150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 W University Ave Ste 502",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033409",
"country_code": "US",
"telephone_number": "765-747-4306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANYALA",
"first_name": "NITYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2026-03066",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.