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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HIRENDRA NAVINCHANDR DOSHI M.D.
NPI 1356312664
Internal Medicine - Gastroenterology in Raleigh, NC

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
86.45/100
CMS Quality Rating
2600 ATLANTIC AVE, RALEIGH, NC 27604(919) 881-9999(919) 881-9998 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Apr 22, 2021 (2 updates tracked since 2021).

About Hirendra Navinchandr Doshi M.d. NPPES

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

HIRENDRA NAVINCHANDR DOSHI M.D. (NPI 1356312664) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (31489) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Rutgers New Jersey Medical School (1985).

NPPES Registry Identity

NPI1356312664
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHIRENDRA NAVINCHANDR DOSHICredential: M.D.
Location Address2600 ATLANTIC AVERaleigh, NC 27604-1502
Mailing Address2600 Atlantic Ave, Suite 100Raleigh, NC 27604-1502 · (919) 881-9999 · Fax (919) 881-9998
Phone(919) 881-9999
Fax(919) 881-9998
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1985
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1356312664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 31489
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2600 ATLANTIC AVE, Raleigh, NC 27604
Open in Google Maps ↗

Other Identifiers 1

Medicaid8928973NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Hirendra Navinchandr Doshi 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 ID8527162981
PECOS Enrollment IDI20100805000644
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 11

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.
147 services112 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
67 services67 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.
66 services66 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
63 services63 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
54 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services41 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27604 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.

86.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.26
Improvement Activities40
Cost70.51

Other Providers at the Same Location NPPES 6

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

LANNING R NEWELL M.D.
Specialist
2600 ATLANTIC AVE
RALEIGH, NC 27604
Wake County (919) 881-9999
DURHAM VAMC
Clinic/Center (VA)
2600 ATLANTIC AVE, SUITE 200
RALEIGH, NC 27604
Wake County (828) 257-3777
STELOR, LLC
Specialist
2600 ATLANTIC AVE
RALEIGH, NC 27604
Wake County (919) 881-9999
TRIANGLE GASTROENTEROLOGY PLLC
Specialist
2600 ATLANTIC AVE
RALEIGH, NC 27604
Wake County (919) 881-9999
JOHN PLUMMER HOLT M.D.
Specialist
2600 ATLANTIC AVE
RALEIGH, NC 27604
Wake County (919) 881-9999
ANIL PRAKASH TUMBAPURA M.D.
Internal Medicine (Gastroenterology)
2600 ATLANTIC AVE
RALEIGH, NC 27604
Wake County (919) 881-9999

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 Hirendra Doshi's NPI number?

The NPI number for Hirendra Doshi is 1356312664. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Hirendra Doshi located?

Hirendra Doshi practices at 2600 Atlantic Ave, Raleigh, NC 27604. The listed phone number is (919) 881-9999.

What is Hirendra Doshi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hirendra Doshi enrolled in Medicare?

Yes. Hirendra Doshi 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 Hirendra Doshi accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Hirendra Doshi 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 Hirendra Doshi affiliated with any hospitals?

According to CMS data, Hirendra Doshi is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Hirendra Doshi was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.