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GUNJAN NIGAM M.D.
NPI 1235143546
Family Medicine in Cary, NC

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
256 TOWNE VILLAGE DR, CARY, NC 27513(919) 460-2015(919) 460-2016 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gunjan Nigam M.d. NPPES

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

GUNJAN NIGAM M.D. (NPI 1235143546) is an individual family medicine provider in Cary, North Carolina, licensed in North Carolina (2006-01205) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235143546
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGUNJAN NIGAMCredential: M.D.
Location Address256 TOWNE VILLAGE DRCary, NC 27513-8910
Mailing Address256 Towne Village DrCary, NC 27513-8910 · (919) 460-2015 · Fax (919) 460-2016
Phone(919) 460-2015
Fax(919) 460-2016
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 21, 2010
✔ NPI 1235143546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2006-01205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
256 TOWNE VILLAGE DR, Cary, NC 27513
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Other Identifiers 5

Medicare UPINI59885NC
Medicare PIN2055671ANC
Medicare PIN2055671NC
Medicare PINP00682749NC
Medicaid5904669NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Gunjan Nigam M.d. 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 ID1759387145
PECOS Enrollment IDI20061006000486
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 6

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.
233 services107 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 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 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.
13 services11 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27513 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims32 services$5.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CLAUDIA Y NUNEZ, MD
Clinic/Center (Adult Mental Health)
256 TOWNE VILLAGE DR
CARY, NC 27513
Wake County (919) 460-2559
WEST CARY FAMILY PHYSICIANS PLLC
Clinic/Center (Primary Care)
256 TOWNE VILLAGE DR
CARY, NC 27513
Wake County (919) 460-2015
PEDRO J NUNEZ M.D.
Family Medicine
256 TOWNE VILLAGE DR
CARY, NC 27513
Wake County (919) 460-2015
SARAH EVANS
Physician Assistant
256 TOWNE VILLAGE DR
CARY, NC 27513
Wake County (919) 460-2015

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 Gunjan Nigam's NPI number?

The NPI number for Gunjan Nigam is 1235143546. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Gunjan Nigam located?

Gunjan Nigam practices at 256 Towne Village Dr, Cary, NC 27513. The listed phone number is (919) 460-2015.

What is Gunjan Nigam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gunjan Nigam enrolled in Medicare?

Yes. Gunjan Nigam 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 Gunjan Nigam accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Gunjan Nigam 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 Gunjan Nigam affiliated with any hospitals?

According to CMS data, Gunjan Nigam is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Gunjan Nigam was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.