Individual provider Active NPI

Dwijesh Bhupendrakumar Patel, MD

  • Interventional Cardiology Physician
  • Raleigh, NC
National Provider Identifier
1700104221
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2013-00517 Issued in NC
Practice address
2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Phone
(919) 787-5380
Fax
(919) 784-5605
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2013-00517 NC
Interventional Cardiology Physician 207RI0011X 2013-00517 NC Primary
Internal Medicine Physician 207R00000X 2013-00517 NC

Addresses

Primary practice location

2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477

Mailing address

2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Phone (919) 787-5380

Other practice location 1

2615 Hospital Rd Ste 300
Goldsboro, NC 27534-9424
Phone (919) 734-0033

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
1700104221MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpatel14058@direct.UNC.nchie.net 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
I20131205001052 NC Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2961639588 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
North Carolina Vascular Center PLLCGroup PAC ID 6800272741, 8 clinicians

Practice addresses (Care Compare)

2800 Blue Ridge Rd
Suite 400
Raleigh, NC 27607-6477
Phone (919) 787-5380

920 S Lombard St
Suite 200
Clayton, NC 27520-2728
Phone (984) 989-6020

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Johnston Health Hospital, Smithfield, NC, CCN 340090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting166
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital Inc CurrentSince Jan 4, 2020 Accepting new patients
North Carolina MG, LLC Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Jan 4, 2020 Accepting new patients
North Carolina Vascular Center PLLC Interventional Cardiology CurrentSince Dec 1, 2023 Accepting new patients
Foot & Ankle Associates of North Carolina, PLLC Past Accepting new patients
Rex Hospital Inc Cardiovascular Disease Past Accepting new patients

Locations

920 S Lombard St
#200
Clayton, NC 27520
Phone (984) 989-6020

320 Veterans Pkwy
Ste 200
Clayton, NC 27520
Phone (919) 971-4580

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

2615 Hospital Rd
#300
Goldsboro, NC 27534
Phone (919) 734-0033

850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093

2800 Blue Ridge Rd
Ste 400
Raleigh, NC 27607
Phone (919) 784-3756

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

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 3

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1700104221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076477",
            "telephone_number": "919-787-5380",
            "fax_number": "919-784-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076477",
            "telephone_number": "919-787-5380",
            "fax_number": "919-784-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Hospital Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349424",
            "country_code": "US",
            "telephone_number": "919-734-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3324 Six Forks Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27609",
            "country_code": "US",
            "telephone_number": "919-781-7772",
            "fax_number": "919-787-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DWIJESH",
        "middle_name": "BHUPENDRAKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2013-00517",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2013-00517",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-00517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700104221",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpatel14058@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2615 Hospital Rd Ste 300",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.