WESTERN WAKE INTERNAL MEDICINE
NPI 1760523260
Internal Medicine in Cary, NC
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Western Wake Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Western Wake Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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 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.
Where is Western Wake Internal Medicine located?
Western Wake Internal Medicine is located at 907 Kildaire Farm Rd, Cary, NC 27511. The listed phone number is (919) 319-6610.
What is Western Wake Internal Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Western Wake Internal Medicine enrolled in Medicare?
Yes. Western Wake Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Western Wake Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Western Wake Internal Medicine. 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 Internal Medicine (3) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Western Wake Internal Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2260900) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Western Wake Internal Medicine accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Western Wake Internal Medicine 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 Western Wake Internal Medicine was last updated on December 17, 2018. 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.
# Western Wake Internal Medicine · NPI 1760523260
Internal Medicine organization in Cary, North Carolina. Organization record, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1760523260 (Entity type: Organization)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Vijaya Polavaram, PRESIDENT
## Practice location
- **Address:** 907 KILDAIRE FARM RD, Cary, NC 27511-3922
- **Phone:** (919) 319-6610 · **Fax:** (919) 319-6365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760523260) · Data from the CMS NPPES public registry.