Individual provider Active NPI

Tapan Niranjan Godiwala, M.D.

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1649436536
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2010-0493 Issued in NM
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 231-6132
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 D0072028 MD
Cardiovascular Disease Physician 207RC0000X MD2010-0493 NM Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgodiwala119895@directHISP.wakemed.org 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
I20160912000584 NC Practitioner - Cardiovascular Disease (Cardiology) 4789876087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-8000

10010 Falls of Neuse Rd
Raleigh, NC 27614-8494
Phone (919) 766-8989

1030 Siena Dr
Wake Forest, NC 27587-2781
Phone (919) 350-0554

11640 Northpark Dr
Wake Forest, NC 27587-5736
Phone (919) 234-4468

166 Springbrook Ave
Clayton, NC 27520-8520
Phone (919) 861-8939

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-8000

200 Ashville Ave
Cary, NC 27518-6659
Phone (919) 232-5202

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 350-6002

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

3324 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 781-7772

400 US Hwy 70 E
Garner, NC 27529-4850
Phone (919) 350-5755

8001 T W Alexander Dr
Raleigh, NC 27617-4883
Phone (919) 781-7772

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0072028MDMDInternal Medicine Physician
MD2010-0493NMMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Cardiovascular Disease Current Accepting new patients
Wakemed Specialists Group, LLC Internal Medicine CurrentSince Aug 22, 2019 Accepting new patients
Wake Pet Services LLC CurrentSince Dec 1, 2021 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Raleigh Cardiology Associates, PA Cardiovascular Disease Current Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients

Locations

300 Keisler Dr
Cary, NC 27518
Phone (919) 230-4434

210 Ashville Ave
Ste 120
Cary, NC 27518
Phone (919) 350-6513

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

2920 Highwoods Blvd
Raleigh, NC 27604

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

Interoperability endpoints

  • Direct secure messaging: tgodiwala119895@directhisp.wakemed.org

Organizations & group practices 6

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 10

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1649436536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010",
            "telephone_number": "877-498-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-231-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIWALA",
        "first_name": "TAPAN",
        "middle_name": "NIRANJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0072028",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2010-0493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgodiwala119895@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3000 New Bern Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.