Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NIVIN HAROON M.D
NPI 1235447558
Internal Medicine - Nephrology in Rocky Mount, NC

Active since September 21, 2010PECOS EnrolledAccepts Medicare Assignment
804 ENGLISH RD STE 220, ROCKY MOUNT, NC 27804(252) 313-8025(704) 812-7667 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Mar 14, 2023 (2 updates tracked since 2023).

About Dr. Nivin Haroon M.d NPPES

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

DR. NIVIN HAROON M.D (NPI 1235447558) is an individual nephrology provider in Rocky Mount, North Carolina, licensed in North Carolina (2020-03199) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1235447558
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NIVIN HAROONCredential: M.D
Location Address804 ENGLISH RD STE 220Rocky Mount, NC 27804-6032
Mailing AddressPo Box 7039Rocky Mount, NC 27804-0039 · (252) 313-8025 · Fax (704) 812-7667
Fax(704) 812-7667
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 21, 2010
Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1235447558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 2020-03199
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
804 ENGLISH RD STE 220, Rocky Mount, NC 27804

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

Dr. Nivin Haroon 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 ID7113232281
PECOS Enrollment IDI20200817003461
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 Reassignments

3

Medicare enrollment records show Nivin Haroon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
804 ENGLISH RD STE 220
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
901 N WINSTEAD AVE
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 66 clinicians in this Medicare group
Specialist
807 SOUTHWESTERN RUN
Youngstown, OH 44514
  • Reassigned Medicare billing, Ohio enrollment
  • 16 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.

Areas of Expertise CMS Part B claims 12

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.

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.
307 services128 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
222 services52 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
163 services47 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.
118 services66 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.
112 services36 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.
78 services76 patients

Hospital Affiliations CMS Care Compare 3

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

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Ecu Health North Hospital

Acute Care Hospitals · Roanoke Rapids, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340151
Location250 Smith Church RoadRoanoke Rapids, NC 27870 · Halifax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers11 claims2,280 services$0.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers18 claims18 services$18.89 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 7

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

Internal Medicine (Nephrology)
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804
Family Medicine
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804
Internal Medicine (Nephrology)
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804
Nurse Practitioner (Gerontology)
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804
Internal Medicine (Nephrology)
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804
Internal Medicine (Nephrology)
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804
Internal Medicine (Nephrology)
804 ENGLISH RD STE 220
ROCKY MOUNT, NC 27804

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 Nivin Haroon's NPI number?

The NPI number for Nivin Haroon is 1235447558. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Nivin Haroon located?

Nivin Haroon practices at 804 English Rd Ste 220, Rocky Mount, NC 27804. The listed phone number is (252) 313-8025.

What is Nivin Haroon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nivin Haroon enrolled in Medicare?

Yes. Nivin Haroon 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 Nivin Haroon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nivin Haroon reassigns Medicare benefits to 3 organizations: Advanced Kidney Care Nc PLLC (Rocky Mount, NC), Boice-Willis Clinic PA (Rocky Mount, NC) and Nephrology Associates, Inc. (Youngstown, OH). 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 Nivin Haroon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nivin Haroon accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Nivin Haroon 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 Nivin Haroon affiliated with any hospitals?

According to CMS data, Nivin Haroon is affiliated with Vidant Edgecombe Hospital, Unc Health Nash and Ecu Health North Hospital.

When was this NPI record last updated?

The NPPES record for Nivin Haroon was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.