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SIVA SANTOSH KUMAR GANDU MD
NPI 1821627241
Hospitalist in Lillington, NC

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
215 BRIGHTWATER DR, LILLINGTON, NC 27546(910) 892-1000 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Mar 10, 2025, Mar 5, 2024 and 2 more (5 updates tracked since 2020).

About Siva Santosh Kumar Gandu Md NPPES

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

SIVA SANTOSH KUMAR GANDU MD (NPI 1821627241) is an individual hospitalist provider in Lillington, North Carolina, licensed in North Carolina (2023-00908) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1821627241
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSIVA SANTOSH KUMAR GANDUCredential: MD
Location Address215 BRIGHTWATER DRLillington, NC 27546-5156
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490 · (910) 215-4111
Phone(910) 892-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateMay 7, 20265 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1821627241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2023-00908
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2023-00908 (NC)
215 BRIGHTWATER DR, Lillington, NC 27546
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 718-8383 · Fax (336) 718-9622
Location 22700 Wayne Memorial DrGoldsboro, NC 27534-9494 · Phone (919) 587-4394
Location 32460 Curtis Ellis DrRocky Mount, NC 27804-2237 · Phone (828) 456-7311 · Fax (252) 962-3320
Location 4800 Tilghman DrDunn, NC 28334-5510 · Phone (910) 892-7161

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 ›

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

Siva Santosh Kumar Gandu 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 ID5193185379
PECOS Enrollment IDI20230719003048
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

4

Medicare enrollment records show Siva Santosh Kumar Gandu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unc Physicians Network, LLC
11 mi
Family Medicine
1006 PROCURE DR
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1700162039 (919) 577-9952
Cumberland County Hospital System Inc
12 mi
Internal Medicine
518 E H ST
Erwin, NC 28339
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1245745587 (910) 897-5591
Cogent Healthcare Of North Carolina, PC
66 mi
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
NPI 1548207483 (828) 456-7311
Complexcare Medical Group Midwest M PLLC
547 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 41 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220

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 4

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.

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.
306 services290 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services45 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.
28 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27546 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.

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.

SIAM SHABBIR DO
Student in an Organized Health Care Education/Training Program
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000
BHUMI PATAK MD
Internal Medicine
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000
KISHAN RAMESH DARJI
Internal Medicine
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000
DAVID FEIST D.O.
Internal Medicine
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000
ZULAIKHA GHANI DO
Student in an Organized Health Care Education/Training Program
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000
DR. AMNA AMJAD MD
Student in an Organized Health Care Education/Training Program
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 766-7711
JESSICA ANN ABDIOU DO
Student in an Organized Health Care Education/Training Program
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000
PAUL JAKINOVICH D.O
Student in an Organized Health Care Education/Training Program
215 BRIGHTWATER DR
LILLINGTON, NC 27546
Harnett County (910) 892-1000

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 Siva Santosh Kumar Gandu's NPI number?

The NPI number for Siva Santosh Kumar Gandu is 1821627241. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Siva Santosh Kumar Gandu located?

Siva Santosh Kumar Gandu practices at 215 Brightwater Dr, Lillington, NC 27546. The listed phone number is (910) 892-1000.

What is Siva Santosh Kumar Gandu's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Siva Santosh Kumar Gandu enrolled in Medicare?

Yes. Siva Santosh Kumar Gandu 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 Siva Santosh Kumar Gandu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siva Santosh Kumar Gandu reassigns Medicare benefits to 4 organizations: Unc Physicians Network, LLC (Fuquay Varina, NC), Cumberland County Hospital System Inc (Erwin, NC), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC) and Complexcare Medical Group Midwest M PLLC (Novi, MI). 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 Siva Santosh Kumar Gandu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siva Santosh Kumar Gandu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Texas and 1 other insurer list Siva Santosh Kumar Gandu 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.

Is Siva Santosh Kumar Gandu affiliated with any hospitals?

According to CMS data, Siva Santosh Kumar Gandu is affiliated with Unc Lenoir Health Care and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Siva Santosh Kumar Gandu was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.