BHAVESH ARVINDBHAI GAJJAR MD
NPI 1497903447
Internal Medicine in Sanford, NC
About Bhavesh Arvindbhai Gajjar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BHAVESH ARVINDBHAI GAJJAR MD (NPI 1497903447) is an individual internal medicine provider in Sanford, North Carolina, licensed in North Carolina (2023-00975) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and maintains a secondary practice location in Durham.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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
Bhavesh Arvindbhai Gajjar 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bhavesh Gajjar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 150 clinicians in this Medicare group
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Carolina Hospital
Acute Care Hospitals · Sanford, NCFirsthealth Moore Regional Hospital
Acute Care Hospitals · Pinehurst, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bhavesh Gajjar's NPI number?
The NPI number for Bhavesh Gajjar is 1497903447. It was assigned to this individual provider in the NPPES registry on September 3, 2008.
Where is Bhavesh Gajjar located?
Bhavesh Gajjar practices at 1818 Doctors Dr, Sanford, NC 27330. The listed phone number is (919) 235-5895.
What is Bhavesh Gajjar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bhavesh Gajjar enrolled in Medicare?
Yes. Bhavesh Gajjar 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 Bhavesh Gajjar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bhavesh Gajjar reassigns Medicare benefits to 2 organizations: Pinehurst Medical Clinic, Inc. (Pinehurst, NC) and Duke University Health System, Inc. (Durham, NC). 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 Bhavesh Gajjar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bhavesh Gajjar accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Bhavesh Gajjar 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 Bhavesh Gajjar affiliated with any hospitals?
According to CMS data, Bhavesh Gajjar is affiliated with Central Carolina Hospital, Firsthealth Moore Regional Hospital and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Bhavesh Gajjar was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Bhavesh Arvindbhai Gajjar, MD · NPI 1497903447
Internal Medicine physician in Sanford, North Carolina. Individual provider, active in the CMS NPPES registry since September 3, 2008.
## Identity
- **NPI:** 1497903447 (Entity type: Individual)
- **Enumerated:** September 3, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2023-00975 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 DOCTORS DR, Sanford, NC 27330-5057
- **Phone:** (919) 235-5895 · **Fax:** (910) 235-3411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pinehurst Medical Clinic, Inc. (NPI 1255388369, Pinehurst, NC); Duke University Health System, Inc. (NPI 1558392977, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** March 5, 2026
- **Other identifiers:** Medicaid 1497903447 (NC); Medicaid 003112853 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1497903447) · Data from the CMS NPPES public registry.