NEHAL P. THAKKAR MD
NPI 1194772368
Internal Medicine - Pulmonary Disease in Concord, NC

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
920 CHURCH ST N, CONCORD, NC 28025(704) 403-1311 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 42 more (45 updates tracked since 2016).

About Nehal P. Thakkar Md NPPES

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

NEHAL P. THAKKAR MD (NPI 1194772368) is an individual pulmonary disease provider in Concord, North Carolina, licensed in North Carolina (2008-01147) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194772368
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNEHAL P. THAKKARCredential: MD
Location Address920 CHURCH ST NConcord, NC 28025-2927
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 15, 202445 updates tracked since enumeration
NPI 1194772368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 2008-01147
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2008-01147 (NC)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2008-01147 (NC)
920 CHURCH ST N, Concord, NC 28025

Secondary Practice Locations 3

Location 1500 Lauchwood DrLaurinburg, NC 28352-5501 · Phone (910) 291-6904
Location 21090 NE Gateway Ct NE, Ste 201Concord, NC 28025-2414 · Phone (704) 403-7770
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490

Accepted 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

Nehal P. Thakkar Md 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 ID7810990512
PECOS Enrollment IDI20080904000718
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services32 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Internal Medicine (Critical Care Medicine)
920 CHURCH ST N
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Home Health
920 CHURCH ST N
CONCORD, NC 28025

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 Nehal Thakkar's NPI number?

The NPI number for Nehal Thakkar is 1194772368. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Nehal Thakkar located?

Nehal Thakkar practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-1311.

What is Nehal Thakkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nehal Thakkar enrolled in Medicare?

Yes. Nehal Thakkar 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 Nehal Thakkar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Nehal Thakkar 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 Nehal Thakkar affiliated with any hospitals?

According to CMS data, Nehal Thakkar is affiliated with Carolinas Medical Center-Northeast.

When was this NPI record last updated?

The NPPES record for Nehal Thakkar was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.