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DR. SAJEEV K PURI M.D.
NPI 1538137971
Otolaryngology in Charlotte, NC

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000(704) 295-3468 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 26, 2021, May 7, 2018 (2 updates tracked since 2018).

About Dr. Sajeev K Puri M.d. NPPES

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

DR. SAJEEV K PURI M.D. (NPI 1538137971) is an individual otolaryngology provider in Charlotte, North Carolina, licensed in North Carolina (2005-00997) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2001).

NPPES Registry Identity

NPI1538137971
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SAJEEV K PURICredential: M.D.
Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Phone(704) 295-3000
Fax(704) 295-3468
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2001
Enumeration DateMarch 10, 2006
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1538137971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 2005-00997
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6035 FAIRVIEW RD, Charlotte, NC 28210
Open in Google Maps ↗

Other Identifiers 11

Other1400KNC · Bcbs
Other1934975NC · Cigna
Other326895NC · Wellpath
Other806719NC · Partners
Other81904SC · Chc Cares Of Sc
Other000000257099SC · Unison Health Plan Sc
Other3963046NC · Aetna
Medicaid5902715NC
OtherE4696NC · Medcost
Other20084161SC · Select Health Of Sc
MedicaidN0099ASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next 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 and accepts Medicare assignment

Dr. Sajeev K Puri M.d. 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 ID2961433966
PECOS Enrollment IDI20050830000390
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 10

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
211 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services180 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
143 services143 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
124 services124 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
64 services62 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
62 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

LUKAS DAVID DUMBERGER MD
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 838-8493
DYLAN DANIEL TOBIAS SLP
Speech-Language Pathologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
DR. NORMAN RONNIE MELTON OD
Optometrist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
DR. JEWEL D GREYWOODE M.D.
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
BRIANNA L MURPHY AUD
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
ERNEST M. BHEND M.D.
Ophthalmology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
CARI L OLSEN AUDIOLOGIST
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
DR. KRISTIN DOLL BRAY AUD
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (042) 953-0007

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 Sajeev Puri's NPI number?

The NPI number for Sajeev Puri is 1538137971. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Sajeev Puri located?

Sajeev Puri practices at 6035 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 295-3000.

What is Sajeev Puri's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sajeev Puri enrolled in Medicare?

Yes. Sajeev Puri 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.

What insurance does Sajeev Puri accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Molina Healthcare and 1 other insurer list Sajeev Puri 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 Sajeev Puri was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.