NIKITA SIJAPATI MD
NPI 1295294072
Family Medicine in Raleigh, NC

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
3633 HARDEN RD, RALEIGH, NC 27607(813) 599-2689 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nikita Sijapati Md NPPES

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

NIKITA SIJAPATI MD (NPI 1295294072) is an individual family medicine provider in Raleigh, North Carolina, licensed in North Carolina (2023-00302) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295294072
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNIKITA SIJAPATICredential: MD
Location Address3633 HARDEN RDRaleigh, NC 27607-0155
Mailing Address2043 Caen StRaleigh, NC 27610-7174
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1295294072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2023-00302
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.
3633 HARDEN RD, Raleigh, NC 27607

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

Nikita Sijapati 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 ID749640159
PECOS Enrollment IDI20251029000787
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 7

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.
160 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services54 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.
30 services27 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.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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.

Other Providers at the Same Location NPPES 10

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

Specialist
3633 HARDEN RD, SUITE 102
RALEIGH, NC 27607
Orthopaedic Surgery
3633 HARDEN RD, SUITE 102
RALEIGH, NC 27607
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, STE 200
RALEIGH, NC 27607
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, STE 200
RALEIGH, NC 27607
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, #200
RALEIGH, NC 27607
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, STE 200
RALEIGH, NC 27607
Plastic Surgery
3633 HARDEN RD, SUITE 200
RALEIGH, NC 27607
Specialist
3633 HARDEN RD, STE 200
RALEIGH, NC 27607

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 Nikita Sijapati's NPI number?

The NPI number for Nikita Sijapati is 1295294072. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Nikita Sijapati located?

Nikita Sijapati practices at 3633 Harden Rd, Raleigh, NC 27607. The listed phone number is (813) 599-2689.

What is Nikita Sijapati's specialty?

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

Is Nikita Sijapati enrolled in Medicare?

Yes. Nikita Sijapati 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 Nikita Sijapati accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Molina Healthcare list Nikita Sijapati 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 Nikita Sijapati affiliated with any hospitals?

According to CMS data, Nikita Sijapati is affiliated with Duke University Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Nikita Sijapati was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.