DR. SHEEL YESHWANT TOLIA D.O.
NPI 1114152675
Internal Medicine - Cardiovascular Disease in Cary, NC

Q: What is Sheel Tolia's NPI number?

The NPI number for Sheel Tolia is 1114152675. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Q: What is Sheel Tolia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Sheel Tolia was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment

210 ASHVILLE AVE, CARY, NC 27518(919) 350-2580(919) 851-4947 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2022, Jul 11, 2018 (2 updates tracked since 2018).

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About Dr. Sheel Yeshwant Tolia D.o. NPPES

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

DR. SHEEL YESHWANT TOLIA D.O. (NPI 1114152675) is an individual cardiovascular disease provider in Cary, North Carolina, licensed in North Carolina (2021-02807) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114152675

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. SHEEL YESHWANT TOLIACredential: D.O.

Location Address210 ASHVILLE AVECary, NC 27518-6676

Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-8991 · Fax (919) 350-7687

Phone(919) 350-2580

Fax(919) 851-4947

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009

Enumeration DateMay 27, 2009

Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration

NPPES CertifiedMarch 27, 2024

✔ NPI 1114152675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NC · 2021-02807

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2021-02807 (NC), 5101018191 (MI)

210 ASHVILLE AVE, Cary, NC 27518

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Secondary Practice Locations 2

Location 112000 E 12 Mile RdWarren, MI 48093-3570 · Phone (586) 576-4140 ext. 2 · Fax (586) 576-4146

Location 2120 Healthplex WayApex, NC 27502-8403 · Phone (919) 232-0322 · Fax (919) 367-2693

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sheel Yeshwant Tolia D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365759503

PECOS Enrollment IDI20220118002307

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.

Areas of Expertise CMS Part B claims 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

336 services250 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

298 services192 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

260 services227 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

183 services182 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

128 services79 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

102 services101 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

92 services87 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

87 services64 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

74 services61 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

61 services60 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

58 services58 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

57 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

40 services39 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

29 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340173

Location1900 Kildare Farm RoadCary, NC 27518 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MRS. MARY ELIZABETH SIMMONS-SHERLOCK APRN

Nurse Practitioner (Family)

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 235-6460

MS. SARAH ELIZABETH HICKS PA-C

Physician Assistant (Medical)

210 ASHVILLE AVE, SUITE 440
CARY, NC 27518

Wake County (919) 350-8585

ELIZABETH MENZEL CROCKER MPAS, PA-C

Physician Assistant (Surgical)

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 350-7331

HANNAH LEIGH GOODRUM PA-C

Physician Assistant (Surgical)

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 350-9355

DR. STEPHEN ASANTE BOATENG D.O.

Internal Medicine (Cardiovascular Disease)

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 350-2580

SINDI DIKO DO

Surgery

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 350-7331

DR. CHRISTINA ANASTASIA KUNYCKY MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 235-6509

SUSAN HYMAN BLUMENTHAL PA

Physician Assistant

210 ASHVILLE AVE
CARY, NC 27518

Wake County (919) 233-8585

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 Sheel Tolia's NPI number?

The NPI number for Sheel Tolia is 1114152675. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Sheel Tolia located?

Sheel Tolia practices at 210 Ashville Ave, Cary, NC 27518. The listed phone number is (919) 350-2580.

What is Sheel Tolia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sheel Tolia enrolled in Medicare?

Yes. Sheel Tolia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheel Tolia accept?

Health plans from Blue Cross and Blue Shield of NC list Sheel Tolia 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 Sheel Tolia affiliated with any hospitals?

According to CMS data, Sheel Tolia is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Sheel Tolia was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.