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RUDRA PAUDEL
NPI 1891104527
Internal Medicine in Gastonia, NC

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
2555 COURT DR, GASTONIA, NC 28054(704) 671-5343 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2022, May 22, 2022, Dec 20, 2017 (3 updates tracked since 2017).

About Rudra Paudel NPPES

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

RUDRA PAUDEL (NPI 1891104527) is an individual internal medicine provider in Gastonia, North Carolina, licensed in North Carolina (2022-00212) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1891104527
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUDRA PAUDEL
Location Address2555 COURT DRGastonia, NC 28054-2134
Mailing AddressPo Box 744786Atlanta, GA 30374-4786
Phone(704) 671-5343
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 6, 2014
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1891104527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2022-00212✔ Licensed in VA · 0101261593
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2555 COURT DR, Gastonia, NC 28054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.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

Rudra Paudel 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 ID6103109301
PECOS Enrollment IDI20220818000620
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 Reassignment

Medicare enrollment records show Rudra Paudel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caromont Medical Group, Inc.
Same address
Infectious Disease
2555 COURT DR STE 350
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1568643583 (704) 834-2465

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 5

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.

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.
342 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services92 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.
108 services107 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.
44 services44 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers11 claims11 services$58.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers43 claims44 services$18.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers36 claims36 services$6.68 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
3 suppliers65 claims65 services$103.34 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.

ANTHONY R ARN MD
Internal Medicine (Interventional Cardiology)
2555 COURT DR, SUITE 300
GASTONIA, NC 28054
Gaston County (704) 868-3256
ADNAN EKRAM M.D.
Family Medicine
2555 COURT DR, SUITE 270
GASTONIA, NC 28054
Gaston County (704) 834-4390
DR. DEMAR AUSTIN NEAL M.D., F.A.C.S.
Surgery (Vascular Surgery)
2555 COURT DR, SUITE 450
GASTONIA, NC 28054
Gaston County (704) 671-7652
EMAD FOUAD MASSOUD MALAK M.D.
Internal Medicine
2555 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-4390
KELLY MARIE BERGEN NP
Nurse Practitioner (Acute Care)
2555 COURT DR, SUITE 300
GASTONIA, NC 28054
Gaston County (704) 868-3256
CAROMONT SPECIALTY GROUP, LLC
Internal Medicine (Cardiovascular Disease)
2555 COURT DR, SUITE 200
GASTONIA, NC 28054
Gaston County (704) 671-7670
CHARMAINE NIRMALEE LUVIS DO
Internal Medicine
2555 COURT DR, SUITE 270
GASTONIA, NC 28054
Gaston County (704) 671-7650
ANTHONY EDWARD RASPANTI MD
Surgery
2555 COURT DR, SUITE 450
GASTONIA, NC 28054
Gaston County (704) 671-7652

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 Rudra Paudel's NPI number?

The NPI number for Rudra Paudel is 1891104527. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Rudra Paudel located?

Rudra Paudel practices at 2555 Court Dr, Gastonia, NC 28054. The listed phone number is (704) 671-5343.

What is Rudra Paudel's specialty?

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

Is Rudra Paudel enrolled in Medicare?

Yes. Rudra Paudel 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 organization bills Medicare for Rudra Paudel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudra Paudel reassigns Medicare benefits to Caromont Medical Group, Inc. (Gastonia, NC). The 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 Rudra Paudel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rudra Paudel accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Rudra Paudel 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 Rudra Paudel affiliated with any hospitals?

According to CMS data, Rudra Paudel is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rudra Paudel was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.