DR. BALA GANGADHARA REDDY THATIGOTLA MD
NPI 1427225317
Surgery in Cary, NC

Active since May 11, 2008PECOS EnrolledAccepts Medicare Assignment
210 ASHVILLE AVE, CARY, NC 27518(919) 350-7331(919) 851-6757 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, May 17, 2023, Jun 3, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Bala Gangadhara Reddy Thatigotla Md NPPES

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

DR. BALA GANGADHARA REDDY THATIGOTLA MD (NPI 1427225317) is an individual surgery provider in Cary, North Carolina, licensed in North Carolina (2022-03263) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1427225317
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BALA GANGADHARA REDDY THATIGOTLACredential: MD
Location Address210 ASHVILLE AVECary, NC 27518-6676
Mailing Address4401 Dominion Crest DrApex, NC 27523-6257 · (646) 938-3785
Fax(919) 851-6757
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 11, 2008
Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1427225317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2022-03263✔ Licensed in NY · 267683
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
210 ASHVILLE AVE, Cary, NC 27518

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. Bala Gangadhara Reddy Thatigotla 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 ID7911039292
PECOS Enrollment IDI20230906002180
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

7

Medicare enrollment records show Bala Gangadhara Thatigotla reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
210 ASHVILLE AVE
Cary, NC 27518
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
Internal Medicine
144 GENESSE STREET
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 332 clinicians in this Medicare group
General Acute Care Hospital
2605 HARLEM RD
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
General Acute Care Hospital
2950 ELMWOOD AVE
Kenmore, NY 14217
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
General Acute Care Hospital
621 10TH ST
Niagara Falls, NY 14302
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982659256 (New York)
  • 156 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 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 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.

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.
53 services32 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.
33 services17 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.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 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.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$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.

Nurse Practitioner (Family)
210 ASHVILLE AVE
CARY, NC 27518
Physician Assistant (Medical)
210 ASHVILLE AVE, SUITE 440
CARY, NC 27518
Physician Assistant (Surgical)
210 ASHVILLE AVE
CARY, NC 27518
Physician Assistant (Surgical)
210 ASHVILLE AVE
CARY, NC 27518
Internal Medicine (Cardiovascular Disease)
210 ASHVILLE AVE
CARY, NC 27518
Internal Medicine (Cardiovascular Disease)
210 ASHVILLE AVE
CARY, NC 27518
Surgery
210 ASHVILLE AVE
CARY, NC 27518
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
210 ASHVILLE AVE
CARY, NC 27518

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 Bala Gangadhara Thatigotla's NPI number?

The NPI number for Bala Gangadhara Thatigotla is 1427225317. It was assigned to this individual provider in the NPPES registry on May 11, 2008.

Where is Bala Gangadhara Thatigotla located?

Bala Gangadhara Thatigotla practices at 210 Ashville Ave, Cary, NC 27518. The listed phone number is (919) 350-7331.

What is Bala Gangadhara Thatigotla's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bala Gangadhara Thatigotla enrolled in Medicare?

Yes. Bala Gangadhara Thatigotla 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 Bala Gangadhara Thatigotla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bala Gangadhara Thatigotla reassigns Medicare benefits to 7 organizations: Wakemed Specialists Group LLC (Cary, NC), Western New York Medical Practice PC (Warsaw, NY), Trinity Medical Wny PC (Buffalo, NY), Sisters Of Charity Hospital Of Buffalo New York (Cheektowaga, NY), Kenmore Mercy Hospital (Kenmore, NY) and 2 more organizations, listed in the Medicare section above. 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 Bala Gangadhara Thatigotla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bala Gangadhara Thatigotla accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare list Bala Gangadhara Thatigotla 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 Bala Gangadhara Thatigotla affiliated with any hospitals?

According to CMS data, Bala Gangadhara Thatigotla is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Bala Gangadhara Thatigotla was last updated on October 5, 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.