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BETHANY MEDICAL CENTER
NPI 1710453550
Family Medicine in Winston Salem, NC

Active since October 19, 2018
5093 UNIVERSITY PKWY, WINSTON SALEM, NC 27106(336) 883-0029 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, Mar 21, 2025, Oct 19, 2018 (3 updates tracked since 2018).

About Bethany Medical Center NPPES

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

BETHANY MEDICAL CENTER (NPI 1710453550) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since October 2018. The organization lists Lenin J Peters, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710453550
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHANY MEDICAL CENTER
Location Address5093 UNIVERSITY PKWYWinston Salem, NC 27106-6085
Mailing Address507 N Lindsay StHigh Point, NC 27262-4303 · (336) 883-0029
Phone(336) 883-0029
Organization SubpartNo
Authorized OfficialLenin J PetersCeo · (336) 883-0029
Enumeration DateOctober 19, 2018
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1710453550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
5093 UNIVERSITY PKWY, Winston Salem, NC 27106
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20041013000729Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Bethany Medical Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner31
Internal Medicine14
Certified Registered Nurse Anesthetist (CRNA)4
Family Practice4
Cardiovascular Disease (Cardiology)3
Gastroenterology3
General Practice2
Anesthesiology1
6 other specialties6

Nearest to this location (20)

See all 68
Julia Cox, FNP
Nurse Practitioner
NPI 1346105715
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Charles Gainor, MD
Family Practice
NPI 1881648186
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Doralis Gonzalez Pelegrin, NP
Nurse Practitioner
NPI 1992664684
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Fuzail Haq, DNP, AGPCNP-BC
Nurse Practitioner
NPI 1124749155
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOS✔ Accepts MedicareSame address
Terri Wood-Cummings, M.D
General Practice
NPI 1598880791
5093 UNIVERSITY PKWY
Winston Salem, NC 27106
(336) 883-0029
✔ PECOSSame address
David Smith, MD
Cardiovascular Disease (Cardiology)
NPI 1780780031
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-6674
✔ PECOS✔ Accepts Medicare5.1 mi
Julia Bates, FNP-BC
Nurse Practitioner
NPI 1720350887
160 KIMEL FOREST DR
Winston Salem, NC 27103
(336) 714-6400
✔ PECOS✔ Accepts Medicare7.4 mi
Tabe Besong, NP
Nurse Practitioner
NPI 1952271991
160 KIMEL FOREST DR STE 100
Winston Salem, NC 27103
(336) 883-0029
✔ PECOS✔ Accepts Medicare7.4 mi
Carrie Fernald, N.P.
Nurse Practitioner
NPI 1912172081
160 KIMEL FOREST DR STE 100
Winston Salem, NC 27103
(336) 883-0029
✔ PECOS✔ Accepts Medicare7.4 mi
Davonia Michael, MD
Pathology
NPI 1144381401
495 ARBOR HILL RD STE M
Kernersville, NC 27284
(336) 883-0029
✔ PECOS✔ Accepts Medicare11 mi
Lori Rowley, FNP
Nurse Practitioner
NPI 1962038406
975 NC HIGHWAY 66 S
Kernersville, NC 27284
(336) 289-2293
✔ PECOS13 mi
James Szabo, M.D.
Dermatology
NPI 1497754600
3605 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Raymond Rosario, MD
Cardiovascular Disease (Cardiology)
NPI 1447290242
3610 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Moogali Arvind, M.D.
Internal Medicine
NPI 1730193665
3604 PETERS CT
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Radha Menon, M.D.
Gastroenterology
NPI 1427218122
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Karla Smith, MD
Family Practice
NPI 1275663593
1580 SKEET CLUB RD
High Point, NC 27265
(336) 883-0029
✔ PECOS✔ Accepts Medicare19 mi
Wayne Beauford, M.D.
Pulmonary Disease
NPI 1043232606
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare20 mi
John Murphy, MD
Anesthesiology
NPI 1972565646
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare20 mi
Anthony Wheeler, M.D.
Neurology
NPI 1487610713
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare20 mi
Lewis Rogatnick, MD
General Practice
NPI 1780680389
507 N LINDSAY ST
High Point, NC 27262
(336) 883-0029
✔ PECOS✔ Accepts Medicare20 mi
See all 68 clinicians

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

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 Bethany Medical Center's NPI number?

The NPI number for Bethany Medical Center is 1710453550. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Bethany Medical Center located?

Bethany Medical Center is located at 5093 University Pkwy, Winston Salem, NC 27106. The listed phone number is (336) 883-0029.

What is Bethany Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bethany Medical Center enrolled in Medicare?

Yes. Bethany Medical Center is registered in the Medicare PECOS enrollment system.

When is Bethany Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bethany Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 14 Medicare specialties reassign their Medicare billing to Bethany Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (31), Internal Medicine (14) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bethany Medical Center accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Bethany Medical Center 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 Bethany Medical Center was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.