DR. HITESH AVAIYA MD
NPI 1497916415
Internal Medicine in Sanford, NC

Q: 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.

Q: What is Hitesh Avaiya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: 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.

Active since June 23, 2008PECOS Enrolled

1135 CARTHAGE ST, SANFORD, NC 27330(262) 627-0941 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Jul 20, 2023, Feb 15, 2022 and 6 more (9 updates tracked since 2021).

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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

NPI1497916415

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HITESH AVAIYACredential: MD

Location Address1135 CARTHAGE STSanford, NC 27330-4162

Mailing Address408 Cole Crest CtCary, NC 27513-8374 · (262) 627-0941

Phone(262) 627-0941

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 23, 2008

Last NPPES UpdateJuly 25, 20239 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1497916415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME134766✔ Licensed in NC · 2011-01123✔ Licensed in OH · 35.142876✔ Licensed in VA · 0101267602✔ Licensed in MO · 2019022880✔ Licensed in GA · 116775✔ Licensed in MI · 4301119335✔ Licensed in MS · 28946

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 2011-01123 (NC)

1135 CARTHAGE ST, Sanford, NC 27330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Health Maintenance Organization of Florida 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 (PECOS)

Dr. Hitesh Avaiya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406028893

PECOS Enrollment IDI20111006000664, I20240821002253, I20240918002367

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

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.

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.

245 services235 patients

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, IA

OwnershipGovernment - Local

CMS Certification Number161329

Location700 W Grove StMaquoketa, IA 52060 · Jackson County

Emergency services

Floyd County Medical Center

Critical Access Hospitals · Charles City, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161347

Location800 11th StCharles City, IA 50616 · Floyd County

Emergency services Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241305

Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County

Emergency services

North Shore Health

Critical Access Hospitals · Grand Marais, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241317

Location515 5th Ave WestGrand Marais, MN 55604 · Cook County

Emergency services

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 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.

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.

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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.

VALERIE WHEAT RD, LDN

Dietitian, Registered

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2180

STEPHEN TYLER ABBOTT D.O.

Internal Medicine

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2350

DENNIS P LEGOLVAN MD

Pathology (Anatomic Pathology & Clinical Pathology)

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2270

DIANE ALFARO PRESCOTT MS, CF-SLP

Speech-Language Pathologist

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2100

ERICA KATHERINE SHARTLE

Physician Assistant

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2261

CENTRAL CAROLINA HOSPITAL

General Acute Care Hospital

1135 CARTHAGE ST, ATTN ALEX SPICER, FANS
SANFORD, NC 27330

Lee County (919) 774-2180

MS. JOANNA GLORIA SANFORD PA-C

Physician Assistant

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2100

CENTRAL EMERGENCY PHYSICIANS, PLLC

Emergency Medicine

1135 CARTHAGE ST
SANFORD, NC 27330

Lee County (919) 774-2100

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.

What insurance does Hitesh Avaiya accept?

Health plans from Avera Health Plans, Medica, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company 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, Riverwood Healthcare Center, North Shore Health 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.