DR. RAHUL DUTTA MD
NPI 1770080368
Urology - Urogynecology and Reconstructive Pelvic Surgery in Winston Salem, NC

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(033) 671-0423(336) 716-5537 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2023, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Rahul Dutta Md NPPES

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

DR. RAHUL DUTTA MD (NPI 1770080368) is an individual urogynecology and reconstructive pelvic surgery provider in Winston Salem, North Carolina, licensed in California (A186651) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770080368
Entity TypeIndividualMale
Primary Taxonomy2088F0040X
Provider Legal NameDR. RAHUL DUTTACredential: MD
Location Address1 MEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing Address1 Medical Center BlvdWinston Salem, NC 27157-0001 · (033) 671-0423 · Fax (336) 716-5537
Fax(336) 716-5537
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 10, 2018
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
NPI 1770080368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License Licensed in CA · A186651
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
1 MEDICAL CENTER BLVD, Winston Salem, NC 27157

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rahul Dutta Md 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 ID5294085601
PECOS Enrollment IDI20251030000590
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.

Hospital Affiliations CMS Care Compare 2

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330079
Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County
Emergency services Birthing friendly

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
1 MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Genetic Counselor, MS
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 Rahul Dutta's NPI number?

The NPI number for Rahul Dutta is 1770080368. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Rahul Dutta located?

Rahul Dutta practices at 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (033) 671-0423.

What is Rahul Dutta's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Rahul Dutta enrolled in Medicare?

Yes. Rahul Dutta 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.

Is Rahul Dutta affiliated with any hospitals?

According to CMS data, Rahul Dutta is affiliated with Adirondack Medical Center - Saranac Lake and Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Rahul Dutta was last updated on June 16, 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.