Vijaya N Polavaram, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9901226 Issued in NC

Practice address

10640 Durant Rd
Ste 101
Raleigh, NC 27614-6565

Phone

(919) 870-0197

Fax

(919) 870-0265

NPI assigned

Feb 9, 2007

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

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Urgent Care PLLCGroup PAC ID 3375873102, 2 clinicians

Western Wake Internal MedicineGroup PAC ID 3678599651, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Cary, NC
  • NPI 1871064949
  Medicare reassignment Care Compare group NPD Authorized official
• Western Wake Internal Medicine

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1760523260
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1669513776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RUNNING CREEK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-870-0197",
            "fax_number": "919-870-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 DURANT RD",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146565",
            "telephone_number": "919-870-0197",
            "fax_number": "919-870-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAVARAM",
        "first_name": "VIJAYA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9901226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Poillucci, NP
• Ivy Peed Pointer, M.D.
• Lakin N Poje, BSN, RN
• Georgina Polanco Castillo, MD
• Polaris Psychological Health Counseling and Consulting Services PLLC
• Naveena Polavarapu
• David G Polhemus, DDS
• Corinne M. Policari, P.T.
• Polite Senior Home Care LLC
• Shariyfa Aziyza Polite, LCSW

• 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 Apr 18, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.