DR. VIVEK JAGDISH SAINANI M.D.
NPI 1902968555
Hospitalist in Goldsboro, NC

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 736-1110 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, May 4, 2022, Feb 10, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Vivek Jagdish Sainani M.d. NPPES

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

DR. VIVEK JAGDISH SAINANI M.D. (NPI 1902968555) is an individual hospitalist provider in Goldsboro, North Carolina, licensed in North Carolina (2007-01614) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1902968555
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. VIVEK JAGDISH SAINANICredential: M.D.
Location Address2700 WAYNE MEMORIAL DRGoldsboro, NC 27534-9494
Mailing Address1240 Huffman Mill Rd, Medical Staff ServicesBurlington, NC 27215-8700 · (336) 538-7677
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1902968555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in NC · 2007-01614✔ Licensed in NC · 140503
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 140503 (NC), 2007-01614 (NC)
2700 WAYNE MEMORIAL DR, Goldsboro, NC 27534

Secondary Practice Location 1

Location 11240 Huffman Mill Rd, Medical Staff ServicesBurlington, NC 27215-8700 · Phone (336) 538-7677

Accepted 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

Dr. Vivek Jagdish Sainani M.d. 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 ID42318743
PECOS Enrollment IDI20090122000654
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

3

Medicare enrollment records show Vivek Sainani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
403 FAIRVIEW ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
Internal Medicine
1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 254 clinicians in this Medicare group

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

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.
25 services14 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
71%184 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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
1 supplier12 claims12 services$42.87 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 suppliers35 claims35 services$14.66 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers19 claims19 services$915.15 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$6.21 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 suppliers59 claims59 services$83.21 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.34 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.

Nurse Practitioner (Family)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Specialist/Technologist, Other (Surgical Assistant)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Nurse Practitioner (Critical Care Medicine)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Specialist/Technologist, Other (Surgical Assistant)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Pharmacist
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Pathology (Anatomic Pathology & Clinical Pathology)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Social Worker (Clinical)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Pediatrics (Neonatal-Perinatal Medicine)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534

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 Vivek Sainani's NPI number?

The NPI number for Vivek Sainani is 1902968555. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Vivek Sainani located?

Vivek Sainani practices at 2700 Wayne Memorial Dr, Goldsboro, NC 27534. The listed phone number is (919) 736-1110.

What is Vivek Sainani's specialty?

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

Is Vivek Sainani enrolled in Medicare?

Yes. Vivek Sainani 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 Vivek Sainani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivek Sainani reassigns Medicare benefits to 3 organizations: Unc Physicians Network, LLC (Clinton, NC), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC) and Hospitalist Medicine Physicians Of North Carolina PLLC (Greensboro, 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 Vivek Sainani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivek Sainani accept?

Health plans from Blue Cross and Blue Shield of NC list Vivek Sainani 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 Vivek Sainani affiliated with any hospitals?

According to CMS data, Vivek Sainani is affiliated with Unc Health Wayne.

When was this NPI record last updated?

The NPPES record for Vivek Sainani was last updated on March 7, 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.