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DR. RAMESH KRISHNARAJ MD
NPI 1003869819
Internal Medicine in Morganton, NC

Active since May 19, 2006PECOS Enrolled
1000 S STERLING ST, MORGANTON, NC 28655(828) 433-2111 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Dec 4, 2018 (2 updates tracked since 2018).

About Dr. Ramesh Krishnaraj Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAMESH KRISHNARAJ MD (NPI 1003869819) is an individual internal medicine provider in Morganton, North Carolina, licensed in North Carolina (9901228) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and maintains a secondary practice location in Lenoir.

NPPES Registry Identity

NPI1003869819
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAMESH KRISHNARAJCredential: MD
Location Address1000 S STERLING STMorganton, NC 28655-3938
Mailing AddressPo Box 710Lenoir, NC 28645-0710 · (828) 757-5070 · Fax (828) 757-5939
Phone(828) 433-2111
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1997
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1003869819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 9901228
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 9901228 (NC)
1000 S STERLING ST, Morganton, NC 28655
Open in Google Maps ↗

Secondary Practice Location 1

Location 1902 Kirkwood Ave NWLenoir, NC 28645-5121 · Phone (828) 754-0101 · Fax (828) 727-0402

Other Identifiers 5

Other9901228NC · License
Medicaid891308ENC
OtherP00781130NC · Rr Mcr
Other1308ENC · Bcbs
Other7453359NC · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ramesh Krishnaraj Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698713212
PECOS Enrollment IDI20050422000712
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Ramesh Krishnaraj reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Post Acute Clinical Services PLLC
60 mi
Family Medicine
620 TOM HUNTER RD
Charlotte, NC 28213
  • Reassigned Medicare billing, North Carolina enrollment
  • 48 clinicians in this Medicare group
NPI 1548061104 (704) 598-5136
Universal Health Corporation
143 mi
Internal Medicine
130 CHURCH AVE SW
Roanoke, VA 24011
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1407117625 (540) 769-3964
Core Care, PLLC
210 mi
Internal Medicine
610 N JEFFERSON AVE
Goldsboro, NC 27530
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1336904549 (919) 321-9171
Theoria Medical
476 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Mid-Atlantic H PLLC
476 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 55 clinicians in this Medicare group
NPI 1275427429 (248) 660-1220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
367 services288 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
202 services190 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
174 services168 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
162 services157 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
136 services121 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
69 services69 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL ANDREW JASKOT
Psychologist (Clinical)
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 608-4000
MR. WAYNE E FREEMAN
Physician Assistant
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 433-2507
DR. SHUJAAT ALI NATHANI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 433-2512
GREGORY ROTH BURMEISTER LPA
Psychologist
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 433-2567
MRS. BARBARA ROSEBORO MYERS MSW, LCSW
Social Worker (Clinical)
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 433-2522
DR. CHRISTINE MICHELLE COOPER PSY.D.
Psychologist (Clinical)
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (407) 973-3886
MRS. GABRIELLE FORD HUFFMAN MSN, FNP-C
Nurse Practitioner (Family)
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 764-7124
MRS. STACIE L. MACDONALD
Psychologist
1000 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 433-2155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ramesh Krishnaraj's NPI number?

The NPI number for Ramesh Krishnaraj is 1003869819. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Ramesh Krishnaraj located?

Ramesh Krishnaraj practices at 1000 S Sterling St, Morganton, NC 28655. The listed phone number is (828) 433-2111.

What is Ramesh Krishnaraj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ramesh Krishnaraj enrolled in Medicare?

Yes. Ramesh Krishnaraj is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ramesh Krishnaraj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramesh Krishnaraj reassigns Medicare benefits to 5 organizations: Post Acute Clinical Services PLLC (Charlotte, NC), Universal Health Corporation (Roanoke, VA), Core Care, PLLC (Goldsboro, NC), Theoria Medical (Novi, MI) and Complexcare Medical Group Mid-Atlantic H PLLC (Novi, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ramesh Krishnaraj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramesh Krishnaraj accept?

Health plans from UnitedHealthcare list Ramesh Krishnaraj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ramesh Krishnaraj affiliated with any hospitals?

According to CMS data, Ramesh Krishnaraj is affiliated with Unc Lenoir Health Care and Carteret General Hospital.

When was this NPI record last updated?

The NPPES record for Ramesh Krishnaraj was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.