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MITHILA FADIA
NPI 1144631557
Psychiatry & Neurology - Neurology in Raleigh, NC

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment
10208 CERNY ST STE 104, RALEIGH, NC 27617(984) 500-3165(984) 500-3166 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 12, 2022, Sep 13, 2019 (2 updates tracked since 2019).

About Mithila Fadia NPPES

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

MITHILA FADIA (NPI 1144631557) is an individual neurology provider in Raleigh, North Carolina, licensed in North Carolina (2021-03125) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144631557
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMITHILA FADIA
Location Address10208 CERNY ST STE 104Raleigh, NC 27617-7885
Mailing Address10208 Cerny St Ste 104Raleigh, NC 27617-7885 · (984) 500-3165
Phone(984) 500-3165
Fax(984) 500-3166
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 20, 2014
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1144631557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NC · 2021-03125✔ Licensed in IL · 036.150713
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 2021-03125 (NC), 036.150713 (IL)
10208 CERNY ST STE 104, Raleigh, NC 27617
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mithila Fadia 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 ID941595557
PECOS Enrollment IDI20211222000008
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 Reassignment

Medicare enrollment records show Mithila Fadia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avance Care, PA
22 mi
Clinic/Center
400 ATTAIN ST STE 202
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 217 clinicians in this Medicare group
NPI 1487845020 (919) 655-1000

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 5

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.

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.
174 services98 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.
146 services146 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.
40 services34 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
29 services16 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.
25 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

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 27617 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

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

SUFIA JABEEN PA-C
Physician Assistant
10208 CERNY ST STE 104
RALEIGH, NC 27617
Wake County (984) 500-3165

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 Mithila Fadia's NPI number?

The NPI number for Mithila Fadia is 1144631557. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Mithila Fadia located?

Mithila Fadia practices at 10208 Cerny St Ste 104, Raleigh, NC 27617. The listed phone number is (984) 500-3165.

What is Mithila Fadia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mithila Fadia enrolled in Medicare?

Yes. Mithila Fadia 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.

Which organization bills Medicare for Mithila Fadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mithila Fadia reassigns Medicare benefits to Avance Care, PA (Fuquay Varina, NC). The 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 Mithila Fadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mithila Fadia affiliated with any hospitals?

According to CMS data, Mithila Fadia is affiliated with Unc Hospitals, Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Mithila Fadia was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.