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SANDEEP KUMAR TIWARI MD
NPI 1669450458
Pediatrics in Roanoke Rapids, NC

Active since January 03, 2006PECOS Enrolled
529 BECKER DR, ROANOKE RAPIDS, NC 27870(252) 537-6465(252) 535-0951 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Feb 11, 2022 (2 updates tracked since 2022).

About Sandeep Kumar Tiwari Md NPPES

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

SANDEEP KUMAR TIWARI MD (NPI 1669450458) is an individual pediatrics provider in Roanoke Rapids, North Carolina, licensed in North Carolina (2003-00895) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669450458
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSANDEEP KUMAR TIWARICredential: MD
Location Address529 BECKER DRRoanoke Rapids, NC 27870-3303
Mailing Address529 Becker DrRoanoke Rapids, NC 27870-3303 · (252) 537-6465 · Fax (252) 535-0951
Phone(252) 537-6465
Fax(252) 535-0951
Sole ProprietorYes
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1669450458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2003-00895
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.
529 BECKER DR, Roanoke Rapids, NC 27870
Open in Google Maps ↗

Other Identifiers 5

Other1343WNC · Nc Medicaid Provider #
Medicaid891343WNC
Other2003-00895NC · Nc Medical License #
Other3116888NC · Mamsi Provider #
OtherC9721NC · Medcost Llc Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandeep Kumar Tiwari Md 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 Reassignments

2

Medicare enrollment records show Sandeep Tiwari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Avenue Pediatrics PA
Same address
Pediatrics
529 BECKER DR
Roanoke Rapids, NC 27870
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1417914797 (252) 537-6465
Vidant Medical Group LLC
59 mi
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1477648731 (252) 847-2181

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 27870 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 5

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

LAILA GOWANI VALLIANI
Nurse Practitioner (Family)
529 BECKER DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 537-6465
PARK AVENUE PEDIATRICS PA
Pediatrics
529 BECKER DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 537-6465
PAULETTE KEITH INGRAM M.D.
Pediatrics
529 BECKER DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 537-1400
MORGAN KEETER NP-C
Nurse Practitioner (Family)
529 BECKER DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 537-6465
HALIFAX PEDIATRICS, P.A.
Clinic/Center (Primary Care)
529 BECKER DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 537-1400

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 Sandeep Tiwari's NPI number?

The NPI number for Sandeep Tiwari is 1669450458. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Sandeep Tiwari located?

Sandeep Tiwari practices at 529 Becker Dr, Roanoke Rapids, NC 27870. The listed phone number is (252) 537-6465.

What is Sandeep Tiwari's specialty?

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

Is Sandeep Tiwari enrolled in Medicare?

Yes. Sandeep Tiwari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandeep Tiwari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Tiwari reassigns Medicare benefits to 2 organizations: Park Avenue Pediatrics PA (Roanoke Rapids, NC) and Vidant Medical Group LLC (Greenville, NC). Each 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 Sandeep Tiwari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Tiwari accept?

Health plans from Cigna Healthcare list Sandeep Tiwari 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 Sandeep Tiwari was last updated on March 7, 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.