WESTERN WAKE INTERNAL MEDICINE
NPI 1760523260
Internal Medicine in Cary, NC

Q: What is Western Wake Internal Medicine's NPI number?

The NPI number for Western Wake Internal Medicine is 1760523260. It was assigned to this organization in the NPPES registry on February 9, 2007.

Q: What is Western Wake Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 09, 2007CLIA 34D2260900 · Waiver

907 KILDAIRE FARM RD, CARY, NC 27511(919) 319-6610(919) 319-6365 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Western Wake Internal Medicine NPPES

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

WESTERN WAKE INTERNAL MEDICINE (NPI 1760523260) is a healthcare organization registered as an internal medicine in Cary, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Vijaya Polavaram, President, as its authorized official.

NPPES Registry Identity

NPI1760523260

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWESTERN WAKE INTERNAL MEDICINE

Location Address907 KILDAIRE FARM RDCary, NC 27511-3922

Mailing Address2025 Giovanni CtCary, NC 27518-7106 · (919) 319-6610 · Fax (919) 319-6365

Phone(919) 319-6610

Fax(919) 319-6365

Organization SubpartNo

Authorized OfficialVijaya PolavaramPresident · (919) 870-0197

Enumeration DateFebruary 9, 2007

Last NPPES UpdateDecember 17, 2018

✔ NPI 1760523260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

907 KILDAIRE FARM RD, Cary, NC 27511

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2260900

Western Wake Internal Medicine · Cary, NC

Active · expires May 23, 2028

CLIA Number34D2260900

Laboratory TypePhysician Office

Certificate Effective DateMay 24, 2026

Certificate Expiration DateMay 23, 2028

Laboratory DirectorRaj Polavaram

Laboratory Phone(919) 319-6610

Laboratory LocationWestern Wake Internal Medicine907 Kildare Farm Road, Cary, NC 27511

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

SARAH ADRIENNE ASSANTE PA-C

Physician Assistant