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

Q: 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.

Q: What is Vivek Sainani's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

Phone(919) 736-1110

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

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Secondary Practice Location 1

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

Accepted Insurance

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

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.

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.

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