Individual provider Active NPI

Raju P Thakor, M.D.

  • Pulmonary Disease Physician
  • Charlotte, NC
National Provider Identifier
1649459942
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2009-01260 Issued in NC
Practice address
1918 Randolph Rd
Suite 580
Charlotte, NC 28207
Phone
(704) 384-9900
Fax
(704) 384-9919
NPI assigned
Nov 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 61289 SC
Pulmonary Disease Physician 207RP1001X 2009-01260 NC Primary

Addresses

Primary practice location

1918 Randolph Rd
Suite 580
Charlotte, NC 28207

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9900

Other practice location 1

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 324-3500

Other identifiers 1

IdentifierTypeStateIssuer
5915852MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rthakor15009@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100728000386 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8921028499 Reassigns benefits to 6 organizations
I20200513001305 NY Practitioner - Pulmonary Disease 8921028499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 640
Charlotte, NC 28204-3215
Phone (980) 302-6700

1918 Randolph Rd
Suite 580
Charlotte, NC 28207-1116
Phone (704) 384-9900

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Jan 2, 2018 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jul 22, 2024 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Catawba Valley Medical Group, Inc Pulmonary Disease CurrentSince Jul 22, 2024 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jan 24, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Apr 10, 2020 Accepting new patients
Southwest Suffolk Medical, P.C. Current Accepting new patients
Southwest Suffolk, P.C CurrentSince Apr 10, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2010 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Jan 24, 2019 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jan 1, 2025 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
The Presbyterian Hospital CurrentSince May 1, 2022 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Caromont Medical Group Inc Internal Medicine Current Accepting new patients
Caromont Medical Group, Inc. CurrentSince Jan 2, 2018 Accepting new patients

Locations (25 of 29)

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

201 Queens Rd
Charlotte, NC 28204
Phone (704) 316-5285

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113

125 Queens Rd
Ste 640
Charlotte, NC 28204
Phone (980) 302-6761

125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300

11840 Southmore Dr
Ste 201
Charlotte, NC 28277
Phone (704) 316-9001

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2386 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

10030 Gilead Rd
Ste 300
Huntersville, NC 28078
Phone (704) 384-7972

1750 Kernersville Medical Pkwy
Ste 300
Kernersville, NC 27284

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

601 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-7727

1450 Matthews Township Pkwy
Ste 380
Matthews, NC 28105
Phone (704) 264-3500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: rthakor15009@direct.novanthealth.org
  • Direct secure messaging: rthakor2965127@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 18

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.

View all 18

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1649459942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 580",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28207",
            "telephone_number": "704-384-9900",
            "fax_number": "704-384-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S Herlong Ave",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-324-3500",
            "fax_number": "803-324-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKOR",
        "first_name": "RAJU",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "61289",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2009-01260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915852",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthakor15009@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "222 S Herlong Ave",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297321158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.