SANDEEP KUMAR PURI MD
NPI 1215324116
Pediatrics - Pediatric Gastroenterology in Durham, NC
About Sandeep Kumar Puri Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDEEP KUMAR PURI MD (NPI 1215324116) is an individual pediatric gastroenterology provider in Durham, North Carolina, licensed in North Carolina (2026-00347) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
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
Sandeep Kumar Puri 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sandeep Puri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 clinicians in this Medicare group
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Prisma Health Medical Group-Midlands
- 1,466 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DURHAM, NC 27703
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 Sandeep Puri's NPI number?
The NPI number for Sandeep Puri is 1215324116. It was assigned to this individual provider in the NPPES registry on April 20, 2015. The provider is also known as Sandeep Kumar.
Where is Sandeep Puri located?
Sandeep Puri practices at 4709 Creekstone Dr, Durham, NC 27703. The listed phone number is (919) 385-8880.
What is Sandeep Puri's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Sandeep Puri enrolled in Medicare?
Yes. Sandeep Puri 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 organizations bill Medicare for Sandeep Puri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Puri reassigns Medicare benefits to 3 organizations: Duke Health Integrated Practice, Inc. (Durham, NC), Duke University Health System, Inc. (Durham, NC) and Palmetto Health - University Of South Carolina Medical Group (Sumter, SC). 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 Sandeep Puri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandeep Puri accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Sandeep Puri 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.
When was this NPI record last updated?
The NPPES record for Sandeep Puri was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Sandeep Kumar Puri, MD · NPI 1215324116
Pediatric Gastroenterology physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since April 20, 2015.
## Identity
- **NPI:** 1215324116 (Entity type: Individual)
- **Enumerated:** April 20, 2015
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 2026-00347 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4709 CREEKSTONE DR, Durham, NC 27703-9822
- **Phone:** (919) 385-8880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC); Duke University Health System, Inc. (NPI 1558392977, Durham, NC); Palmetto Health - University Of South Carolina Medical Group (NPI 1295211894, Sumter, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215324116) · Data from the CMS NPPES public registry.