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RAJU P THAKOR M.D.
NPI 1649459942
Internal Medicine - Pulmonary Disease in Charlotte, NC

Active since November 02, 2007PECOS EnrolledAccepts Medicare Assignment
1918 RANDOLPH RD, SUITE 580, CHARLOTTE, NC 28207(704) 384-9900(704) 384-9919 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Oct 28, 2020, Aug 1, 2018 (3 updates tracked since 2018).

About Raju P Thakor M.d. NPPES

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

RAJU P THAKOR M.D. (NPI 1649459942) is an individual pulmonary disease provider in Charlotte, North Carolina, licensed in North Carolina (2009-01260) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains a secondary practice location in Rock Hill.

NPPES Registry Identity

NPI1649459942
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAJU P THAKORCredential: M.D.
Location Address1918 RANDOLPH RD, SUITE 580Charlotte, NC 28207
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-9900
Phone(704) 384-9900
Fax(704) 384-9919
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 2, 2007
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1649459942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NC · 2009-01260✔ Licensed in SC · 61289
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1918 RANDOLPH RD, Charlotte, NC 28207
Open in Google Maps ↗

Secondary Practice Location 1

Location 1222 S Herlong AveRock Hill, SC 29732-1158 · Phone (803) 324-3500 · Fax (803) 324-1933

Other Identifiers 1

Medicaid5915852NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Raju P Thakor 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 ID8921028499
PECOS Enrollment IDI20100728000386
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 9

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.

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.
206 services98 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
123 services61 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
53 services53 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
52 services52 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.
51 services35 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
78%46 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%68 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%91 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
45%104 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
57%35 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier13 claims13 services$919.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers12 claims16 services$4.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers36 claims36 services$67.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$30.46 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers19 claims660 services$0.74 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers22 claims22 services$24.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SIMON VIVIAN WARD III M.D.
Obstetrics & Gynecology
1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1620
ADAM F. SPITZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
JENNIFER LYNN KELSO MD
Emergency Medicine
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DICK A. RICHARDS PA-C
Physician Assistant
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DR. RICHARD KLEINMANN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
NALLE PHARMACY INC
Pharmacy (Clinic Pharmacy)
1918 RANDOLPH RD, SUITE 120
CHARLOTTE, NC 28207
Mecklenburg County (704) 342-8180
DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
Dermatology
1918 RANDOLPH RD, SUITE 550
CHARLOTTE, NC 28207
Mecklenburg County (704) 375-6766
DR. WALTER WALLACE JOHNSON M.D.
Internal Medicine
1918 RANDOLPH RD, SUITE 350
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1750

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 Raju Thakor's NPI number?

The NPI number for Raju Thakor is 1649459942. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Where is Raju Thakor located?

Raju Thakor practices at 1918 Randolph Rd Suite 580, Charlotte, NC 28207. The listed phone number is (704) 384-9900.

What is Raju Thakor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Raju Thakor enrolled in Medicare?

Yes. Raju Thakor 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 Raju Thakor accept?

Health plans from Blue Cross and Blue Shield of NC list Raju Thakor 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 Raju Thakor affiliated with any hospitals?

According to CMS data, Raju Thakor is affiliated with Scotland Memorial Hospital, Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center, Novant Health Mint Hill Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for Raju Thakor was last updated on June 20, 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.