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SUKIRTI BISTA M.D.
NPI 1629358742
Pediatrics in Winston Salem, NC

Active since August 20, 2011PECOS Enrolled
2295 E 14TH ST STE 100, WINSTON SALEM, NC 27105(336) 713-8860(336) 713-8862 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2017, Jun 15, 2016 (2 updates tracked since 2016).

About Sukirti Bista M.d. NPPES

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

SUKIRTI BISTA M.D. (NPI 1629358742) is an individual pediatrics provider in Winston Salem, North Carolina, licensed in North Carolina (2017-00991) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sumter.

NPPES Registry Identity

NPI1629358742
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUKIRTI BISTACredential: M.D.
Location Address2295 E 14TH ST STE 100Winston Salem, NC 27105-6804
Mailing AddressPo Box 602658Charlotte, NC 28260-2658 · (336) 716-2011
Phone(336) 713-8860
Fax(336) 713-8862
Sole ProprietorNo
Enumeration DateAugust 20, 2011
Last NPPES UpdateNovember 2, 20172 updates tracked since enumeration
✔ NPI 1629358742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2017-00991
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2295 E 14TH ST STE 100, Winston Salem, NC 27105
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Secondary Practice Location 1

Location 1325 Broad St, Suite 100Sumter, SC 29150-4167 · Phone (803) 773-5227 ext. 1015 · Fax (803) 753-9312

Other Identifiers 2

Medicaid385283SC
OtherSC76947477SC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sukirti Bista M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Sukirti Bista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences
3.5 mi
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MICKLE COOPER M.D.
Pediatrics
2295 E 14TH ST STE 100
WINSTON SALEM, NC 27105
Forsyth County (336) 713-8860

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 Sukirti Bista's NPI number?

The NPI number for Sukirti Bista is 1629358742. It was assigned to this individual provider in the NPPES registry on August 20, 2011.

Where is Sukirti Bista located?

Sukirti Bista practices at 2295 E 14th St Ste 100, Winston Salem, NC 27105. The listed phone number is (336) 713-8860.

What is Sukirti Bista's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sukirti Bista enrolled in Medicare?

Yes. Sukirti Bista is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sukirti Bista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sukirti Bista reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The 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 Sukirti Bista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sukirti Bista accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Sukirti Bista 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 Sukirti Bista was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.