Naitik Dhansukh Panwala, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101720 Issued in NC

Practice address

117 E Kings Hwy
Eden, NC 27288-5201

Phone

(984) 215-4000

Fax

(984) 215-4118

NPI assigned

Apr 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Unc Rockingham Health Care IncGroup PAC ID 6800157181, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Rockingham Hospital, Eden, NC, CCN 340060

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: npanwala185756@direct.unc.nchie.net

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.

• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group
• Unc Rockingham Health Care, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mayodan, NC
  • NPI 1538664099
  Medicare reassignment Care Compare group
• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127
  Medicare reassignment
• Morehead Memorial Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Eden, NC
  • NPI 1639464605
  NPD
• Moses Cone Physician Services Inc

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Moses Cone Physician Services, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Burlington, NC
  • NPI 1538601257
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Unc Physicians Network LLC

  • Internal Medicine Physician
  • Chapel Hill, NC
  • NPI 1679996292
  NPD
• Unc Rockingham Health Care, Inc.

  • General Acute Care Hospital
  • Eden, NC
  • NPI 1326048810
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Unc Rockingham Health Care, Inc.

  • General Acute Care Hospital
  • Eden, NC
  • NPI 1326048810
  Care Compare affiliation

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1962760058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885201",
            "telephone_number": "984-215-4000",
            "fax_number": "984-215-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANWALA",
        "first_name": "NAITIK",
        "middle_name": "DHANSUKH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE  PA",
            "identifier": "101720",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npanwala185756@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "117 E Kings Hwy",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272885201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ikenna B Okafor, PHARMD
• Opies of Eden
• Heidi Anne Orme, MS, CRNA
• Hagan E. Pace, NP
• Sandeep Raj Pandit, M. D.
• Susan D Pappas, CRNP
• Gargiben Patel
• Elizabeth Mary Peck, MSN, AGNP-C
• Perkins Professional Day Care Inc
• Allison Petschul

• Physician Assistant in Eden, NC
• Providers in Eden, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.