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MEGHA KARMALKAR PA
NPI 1851849988
Physician Assistant in Holly Springs, NC

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
781 AVENT FERRY RD STE 204, HOLLY SPRINGS, NC 27540(919) 791-2040 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2022, Sep 19, 2016 (2 updates tracked since 2016).

About Megha Karmalkar Pa NPPES

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

MEGHA KARMALKAR PA (NPI 1851849988) is an individual physician assistant in Holly Springs, North Carolina, licensed in North Carolina (0010-06730) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1851849988
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGHA KARMALKARCredential: PA
Location Address781 AVENT FERRY RD STE 204Holly Springs, NC 27540-7776
Mailing Address3840 Ed Dr, Suite 111Raleigh, NC 27612-8005 · (919) 571-3661 · Fax (919) 571-3290
Phone(919) 791-2040
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1851849988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-06730
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-06730 (NC)
781 AVENT FERRY RD STE 204, Holly Springs, NC 27540
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Secondary Practice Location 1

Location 13840 Ed Dr, Suite 111Raleigh, NC 27612-8005 · Phone (919) 571-3661 · Fax (919) 571-3290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Megha Karmalkar Pa 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 ID8527348937
PECOS Enrollment IDI20161130002237
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
23 services23 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.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27540 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 2

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

LAUREN ELIZABETH FAIDLEY PA-C
Physician Assistant
781 AVENT FERRY RD STE 204
HOLLY SPRINGS, NC 27540
Wake County (919) 791-2040
DR. SILPA YALAMANCHILI M.D
Internal Medicine (Gastroenterology)
781 AVENT FERRY RD STE 204
HOLLY SPRINGS, NC 27540
Wake County (919) 791-2040

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 Megha Karmalkar's NPI number?

The NPI number for Megha Karmalkar is 1851849988. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Megha Karmalkar located?

Megha Karmalkar practices at 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540. The listed phone number is (919) 791-2040.

What is Megha Karmalkar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megha Karmalkar enrolled in Medicare?

Yes. Megha Karmalkar 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.

What insurance does Megha Karmalkar accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Megha Karmalkar 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 Megha Karmalkar affiliated with any hospitals?

According to CMS data, Megha Karmalkar is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Megha Karmalkar was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.