PRITI PANKAJ PATWARI M.D.
NPI 1639334550
Internal Medicine - Infectious Disease in Raleigh, NC

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
95.39/100
CMS Quality Rating
2304 WESVILL CT, STE 240, RALEIGH, NC 27607(919) 235-1802(919) 235-1354 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2024, Oct 13, 2023, Aug 11, 2023 and 5 more (8 updates tracked since 2016).

About Priti Pankaj Patwari M.d. NPPES

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

PRITI PANKAJ PATWARI M.D. (NPI 1639334550) is an individual infectious disease provider in Raleigh, North Carolina, licensed in North Carolina (2016-01783) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1639334550
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NamePRITI PANKAJ PATWARICredential: M.D.
Location Address2304 WESVILL CT, STE 240Raleigh, NC 27607-2973
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-8000
Fax(919) 235-1354
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2008
Enumeration DateJuly 21, 2008
Last NPPES UpdateDecember 30, 20248 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1639334550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in NC · 2016-01783 Licensed in IN · 01072734A
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2304 WESVILL CT, Raleigh, NC 27607

Secondary Practice Location 1

Location 14420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-3100

Other Identifiers 1

Medicaid1639334550NC

Accepted 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

Priti Pankaj Patwari 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 ID5890929301
PECOS Enrollment IDI20170103000053
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 4

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.
82 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

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 27607 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.

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.

95.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.76
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.

Internal Medicine (Infectious Disease)
2304 WESVILL CT, SUITE 240
RALEIGH, NC 27607
Specialist
2304 WESVILL CT, # 360
RALEIGH, NC 27607
Psychologist
2304 WESVILL CT, SUITE 280
RALEIGH, NC 27607
Specialist
2304 WESVILL CT, # 360
RALEIGH, NC 27607
Nurse Practitioner (Family)
2304 WESVILL CT, SUITE 240
RALEIGH, NC 27607
Plastic Surgery
2304 WESVILL CT, SUITE 360
RALEIGH, NC 27607
Obstetrics & Gynecology (Gynecology)
2304 WESVILL CT, SUITE 210
RALEIGH, NC 27607
Obstetrics & Gynecology
2304 WESVILL CT, SUITE 210
RALEIGH, NC 27607

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 Priti Patwari's NPI number?

The NPI number for Priti Patwari is 1639334550. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Priti Patwari located?

Priti Patwari practices at 2304 Wesvill Ct Ste 240, Raleigh, NC 27607. The listed phone number is (919) 235-1802.

What is Priti Patwari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Priti Patwari enrolled in Medicare?

Yes. Priti Patwari 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 Priti Patwari accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Priti Patwari 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 Priti Patwari affiliated with any hospitals?

According to CMS data, Priti Patwari is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Priti Patwari was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.