Naveena Polavarapu

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45092 Issued in WI

Practice address

3305 Sungate Blvd
Raleigh, NC 27610

Phone

(919) 212-0129

Fax

(919) 255-1540

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Naveena Polavarapu Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1669432183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SUNGATE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102871",
            "telephone_number": "919-212-0129",
            "fax_number": "919-255-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SUNGATE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-212-0129",
            "fax_number": "919-255-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAVARAPU",
        "first_name": "NAVEENA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "45092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAVEENA",
            "last_name": "POLAVARAPU",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ivy Peed Pointer, M.D.
• Lakin N Poje, BSN, RN
• Georgina Polanco Castillo, MD
• Polaris Psychological Health Counseling and Consulting Services PLLC
• Vijaya N Polavaram, MD
• David G Polhemus, DDS
• Corinne M. Policari, P.T.
• Polite Senior Home Care LLC
• Shariyfa Aziyza Polite, LCSW
• Laura Catherine Politte, MD

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.

Verify at the official NPI Registry.