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RAJESH DWARAKANATH SAKALA MD
NPI 1861499279
Internal Medicine in Kings Mountain, NC

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
706 W KING ST, KINGS MOUNTAIN, NC 28086(980) 487-3751 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 49 more (52 updates tracked since 2018).

About Rajesh Dwarakanath Sakala Md NPPES

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

RAJESH DWARAKANATH SAKALA MD (NPI 1861499279) is an individual internal medicine provider in Kings Mountain, North Carolina, licensed in North Carolina (9900654) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1861499279
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJESH DWARAKANATH SAKALACredential: MD
Location Address706 W KING STKings Mountain, NC 28086-2708
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 487-3751
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 15, 202452 updates tracked since enumeration
✔ NPI 1861499279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 9900654
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.
Also ListedHospitalistTaxonomy 208M00000X · License 9900654 (NC)
706 W KING ST, Kings Mountain, NC 28086
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241
Location 310628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

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

Rajesh Dwarakanath Sakala 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 ID3274599667
PECOS Enrollment IDI20041207001095
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

5

Medicare enrollment records show Rajesh Sakala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Hospitalist
706 W KING ST
Kings Mountain, NC 28086
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1285055947 (980) 487-3751
The Charlotte-Mecklenburg Hospital Authority
1.6 mi
Nurse Anesthetist, Certified Registered
706 W KING ST
Kings Mountain, NC 28086
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1790182608 (980) 487-7436
Carolinas Medical Center
27 mi
Family Medicine
1801 ROZZELLES FERRY RD
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1063567428 (704) 446-9987
Wake Forest University Health Sciences
75 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255
Scotland Regional Health Network
95 mi
Surgery
224 W MAIN ST
Hamlet, NC 28345
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1285907519 (910) 277-9164

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.
192 services192 patients
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.
58 services57 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.
53 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340084
Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County
Emergency services

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28086 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers35 claims35 services$14.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers38 claims38 services$62.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARVIN COTTEN PA
Physician Assistant
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-5470
ANGEL MINERVA RN
Registered Nurse
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-5000
MS. LAURA JANE LOCKHART CRNA
Nurse Anesthetist, Certified Registered
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (704) 730-5405
CAROLINAS PHYSICIANS NETWORK INC
Hospitalist
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-3751
DR. KENNETH JOSEPH SAUVE MD
Anesthesiology
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (828) 274-3477
HUNTER EVAN HOPKINS MD
Internal Medicine
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-5000
CLEVELAND COUNTY HEALTHCARE SYSTEM
Psychiatric Unit
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (704) 739-3601
REGIONAL HEALTH SERVICES
Hospitalist
706 W KING ST
KINGS MOUNTAIN, NC 28086
Cleveland County (704) 739-5108

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 Rajesh Sakala's NPI number?

The NPI number for Rajesh Sakala is 1861499279. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Rajesh Sakala located?

Rajesh Sakala practices at 706 W King St, Kings Mountain, NC 28086. The listed phone number is (980) 487-3751.

What is Rajesh Sakala's specialty?

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

Is Rajesh Sakala enrolled in Medicare?

Yes. Rajesh Sakala 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 Rajesh Sakala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Sakala reassigns Medicare benefits to 5 organizations: Carolinas Physicians Network Inc (Kings Mountain, NC), The Charlotte-Mecklenburg Hospital Authority (Kings Mountain, NC), Carolinas Medical Center (Charlotte, NC), Wake Forest University Health Sciences (Lexington, NC) and Scotland Regional Health Network (Hamlet, NC). 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 Rajesh Sakala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajesh Sakala accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Rajesh Sakala 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 Rajesh Sakala affiliated with any hospitals?

According to CMS data, Rajesh Sakala is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Atrium Health Anson, Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Rajesh Sakala was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.