DR. HITESH AVAIYA MD
NPI 1497916415
Internal Medicine in Sanford, NC
About Dr. Hitesh Avaiya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HITESH AVAIYA MD (NPI 1497916415) is an individual internal medicine provider in Sanford, North Carolina, licensed in Florida (ME134766) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Jackson County Regional Health Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 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 (PECOS)
Dr. Hitesh Avaiya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
24Medicare enrollment records show Hitesh Avaiya reassigns Medicare billing to 24 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28311
- Reassigned Medicare billing, North Carolina enrollment
- 906 clinicians in this Medicare group
Cary, NC 27511
- Reassigned Medicare billing, North Carolina enrollment
- 997 clinicians in this Medicare group
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 254 clinicians in this Medicare group
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- 393 clinicians in this Medicare group
Low Moor, VA 24457
- Reassigned Medicare billing, Virginia enrollment
- 88 clinicians in this Medicare group
Murphy, NC 28906
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: 24 On Physicians PC
- 41 clinicians in this Medicare group
Byron, GA 31008
- Reassigned Medicare billing, Georgia enrollment
- 31 clinicians in this Medicare group
Thomaston, GA 30286
- Reassigned Medicare billing, Georgia enrollment
- 59 clinicians in this Medicare group
Lima, OH 45804
- Reassigned Medicare billing, Missouri and Ohio enrollments
- 57 clinicians in this Medicare group
Amory, MS 38821
- Reassigned Medicare billing, Mississippi enrollment
- 170 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
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson County Regional Health Center
Critical Access Hospitals · Maquoketa, IAFloyd County Medical Center
Critical Access Hospitals · Charles City, IANorth Shore Health
Critical Access Hospitals · Grand Marais, MNLifecare Medical Center
Critical Access Hospitals · Roseau, MNWakemed, Cary Hospital
Acute Care Hospitals · Cary, 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.
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.
SANFORD, NC 27330
SANFORD, NC 27330
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 Hitesh Avaiya's NPI number?
The NPI number for Hitesh Avaiya is 1497916415. It was assigned to this individual provider in the NPPES registry on June 23, 2008.
Where is Hitesh Avaiya located?
Hitesh Avaiya practices at 1135 Carthage St, Sanford, NC 27330. The listed phone number is (262) 627-0941.
What is Hitesh Avaiya's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Hitesh Avaiya enrolled in Medicare?
Yes. Hitesh Avaiya is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Hitesh Avaiya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hitesh Avaiya reassigns Medicare benefits to 24 organizations: Cumberland County Hospital System Inc (Fayetteville, NC), Wakemed Specialists Group, LLC (Cary, NC), Hospitalist Medicine Physicians Of North Carolina PLLC (Greensboro, NC), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC), Ingleside Physician Services, LLC (Low Moor, VA) and 19 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 Hitesh Avaiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hitesh Avaiya accept?
Health plans from Avera Health Plans, Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Sanford Health Plan and 1 other insurer list Hitesh Avaiya 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 Hitesh Avaiya affiliated with any hospitals?
According to CMS data, Hitesh Avaiya is affiliated with Jackson County Regional Health Center, Floyd County Medical Center, North Shore Health, Lifecare Medical Center and Wakemed, Cary Hospital.
When was this NPI record last updated?
The NPPES record for Hitesh Avaiya was last updated on July 25, 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.
# Dr. Hitesh Avaiya, MD · NPI 1497916415
Internal Medicine physician in Sanford, North Carolina. Individual provider, active in the CMS NPPES registry since June 23, 2008.
## Identity
- **NPI:** 1497916415 (Entity type: Individual)
- **Enumerated:** June 23, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME134766 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1135 CARTHAGE ST, Sanford, NC 27330-4162
- **Phone:** (262) 627-0941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 24 organizations under Medicare reassignment (form CMS-855R): Cumberland County Hospital System Inc (NPI 1134162597, Fayetteville, NC); Wakemed Specialists Group, LLC (NPI 1013571587, Cary, NC); Hospitalist Medicine Physicians Of North Carolina PLLC (NPI 1164724902, Greensboro, NC); Cogent Healthcare Of North Carolina, PC (NPI 1548207483, Rocky Mount, NC); Ingleside Physician Services, LLC (NPI 1932693488, Low Moor, VA); and 19 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497916415) · Data from the CMS NPPES public registry.