CHOLAVARDHAN KONDETI
NPI 1619760170
Internal Medicine in Lumberton, NC

Active since May 27, 2025PECOS Enrolled
300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cholavardhan Kondeti NPPES

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

CHOLAVARDHAN KONDETI (NPI 1619760170) is an individual internal medicine provider in Lumberton, North Carolina, licensed in North Carolina (RTL25-0781) and active in the NPI registry since May 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619760170
Entity TypeIndividual
Primary Taxonomy207R00000X
Provider Legal NameCHOLAVARDHAN KONDETI
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address124 Oakwood AveEdison, NJ 08837-2311
Sole ProprietorNo
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1619760170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · RTL25-0781
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.
300 W 27TH ST, Lumberton, NC 28358

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cholavardhan Kondeti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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.

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.

Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358

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 Cholavardhan Kondeti's NPI number?

The NPI number for Cholavardhan Kondeti is 1619760170. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Cholavardhan Kondeti located?

Cholavardhan Kondeti practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5000.

What is Cholavardhan Kondeti's specialty?

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

Is Cholavardhan Kondeti enrolled in Medicare?

Yes. Cholavardhan Kondeti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cholavardhan Kondeti was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.