PARTH R VAIDYA
NPI 1376123471
Ophthalmology in Durham, NC

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
2351 ERWIN RD, DURHAM, NC 27705(919) 681-3937 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, May 24, 2025, Nov 15, 2021 and 1 more (4 updates tracked since 2021).

About Parth R Vaidya NPPES

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

PARTH R VAIDYA (NPI 1376123471) is an individual ophthalmology provider in Durham, North Carolina, licensed in North Carolina (2026-01727) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Virginia Tech Carilion School Of Medicine (2022).

NPPES Registry Identity

NPI1376123471
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePARTH R VAIDYA
Location Address2351 ERWIN RDDurham, NC 27705-4699
Mailing Address2351 Erwin RdDurham, NC 27705-4699
Sole ProprietorNo
Medical School CMSVirginia Tech Carilion School Of MedicineGraduated 2022
Enumeration DateApril 12, 2021
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1376123471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 2026-01727
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2351 ERWIN RD, Durham, NC 27705

Secondary Practice Location 1

Location 1100 Woodruff Cir NEAtlanta, GA 30322-4950 · Phone (404) 727-5658

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

Parth R Vaidya 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 ID3274914114
PECOS Enrollment IDI20260622002154
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 Reassignment

Medicare enrollment records show Parth Vaidya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 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 27705 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner
2351 ERWIN RD
DURHAM, NC 27705
Occupational Therapist (Low Vision)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology (Cornea and External Diseases Specialist)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705

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 Parth Vaidya's NPI number?

The NPI number for Parth Vaidya is 1376123471. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Parth Vaidya located?

Parth Vaidya practices at 2351 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 681-3937.

What is Parth Vaidya's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Parth Vaidya enrolled in Medicare?

Yes. Parth Vaidya 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 organization bills Medicare for Parth Vaidya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parth Vaidya reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The 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 Parth Vaidya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parth Vaidya accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Parth Vaidya 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 Parth Vaidya 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 3 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.