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VIKAS PATHAK M.D.
NPI 1740474121
Internal Medicine - Pulmonary Disease in Raleigh, NC

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7270(919) 350-7204 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vikas Pathak M.d. NPPES

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

VIKAS PATHAK M.D. (NPI 1740474121) is an individual pulmonary disease provider in Raleigh, North Carolina, licensed in Virginia (0101255685) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1740474121
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameVIKAS PATHAKCredential: M.D.
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing Address856 J Clyde Morris Blvd, Ste ANewport News, VA 23601-1318 · (757) 316-5888 · Fax (757) 534-5190
Phone(919) 350-7270
Fax(919) 350-7204
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 29, 2007
Last NPPES UpdateApril 4, 2019
✔ NPI 1740474121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in VA · 0101255685✔ Licensed in NC · 2011-00900
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2011-00900 (NC)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2011-00900 (NC)
3024 NEW BERN AVE, Raleigh, NC 27610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vikas Pathak 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 ID8628262631
PECOS Enrollment IDI20150207000037, I20251122000576
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

5

Medicare enrollment records show Vikas Pathak reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Intensivists Of Virginia LLC
138 mi
Critical Care Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1619520806 (808) 673-8160
Clark Pulmonary Group
142 mi
Pulmonary Disease
105 WATCH HARBOUR CT
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1982337242 (757) 582-1629
Richmond Heart And Vascular Associates
144 mi
Interventional Cardiology
8160 PLEASANT GROVE ROAD, SUITE 101
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1508519745 (804) 800-6600
Virginia Institute Of Lung Diseases LLC
153 mi
Pulmonary Disease
101 PICKETT PL
Yorktown, VA 23693
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 8 clinicians in this Medicare group
NPI 1144945353 (502) 244-9859
Clark Alliance Services Inc
220 mi
Internal Medicine
2501 PARKERS LN FL 4
Alexandria, VA 22306
  • Reassigned Medicare billing, Virginia enrollment
  • 52 clinicians in this Medicare group
NPI 1952892028 (703) 664-7000

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

Areas of Expertise CMS Part B claims 10

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.
583 services145 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.
365 services169 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.
345 services157 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.
63 services63 patients
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.
51 services51 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
47 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Rappahannock General Hospital

Critical Access Hospitals · Kilmarnock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491308
Location101 Harris RoadKilmarnock, VA 22482 · Lancaster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.58 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
3 suppliers30 claims30 services$61.61 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.36 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.

VALERIE J RINEHAMMER PNP
Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7846
WAKEMED FACULTY PRACTICE PLAN
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. KAREN NEFF CHILTON M.D.
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Wake County (919) 350-8493
DR. SAMER TAJ-ELDIN M.D.
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7270
VIRGINIA GRACE CATES PA-C
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-5318
MS. KAYLA ANNE CADDEN PA-C
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7331
DON M. ARMSTRONG MD
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7084
KATHLEEN A ROWE NP
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610
Wake County (919) 350-8729

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 Vikas Pathak's NPI number?

The NPI number for Vikas Pathak is 1740474121. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Vikas Pathak located?

Vikas Pathak practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7270.

What is Vikas Pathak's specialty?

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

Is Vikas Pathak enrolled in Medicare?

Yes. Vikas Pathak 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.

Which organizations bill Medicare for Vikas Pathak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikas Pathak reassigns Medicare benefits to 5 organizations: Sound Physicians Intensivists Of Virginia LLC (Richmond, VA), Clark Pulmonary Group (Suffolk, VA), Richmond Heart And Vascular Associates (Mechanicsville, VA), Virginia Institute Of Lung Diseases LLC (Yorktown, VA) and Clark Alliance Services Inc (Alexandria, VA). 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 Vikas Pathak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Vikas Pathak affiliated with any hospitals?

According to CMS data, Vikas Pathak is affiliated with Medical College Of Virginia Hospitals, Riverside Regional Medical Center, Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center and Rappahannock General Hospital.

When was this NPI record last updated?

The NPPES record for Vikas Pathak was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.