DR. RAJA RAJESWARA RAO PALADUGU M.D.
NPI 1972570232
Hospitalist in North Wilkesboro, NC

Q: What is Raja Paladugu's NPI number?

The NPI number for Raja Paladugu is 1972570232. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Raja Paladugu'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 Raja Paladugu 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.

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment

1370 W D ST, NORTH WILKESBORO, NC 28659(336) 651-8100(336) 716-0030 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, Mar 8, 2022, Dec 17, 2020 and 2 more (5 updates tracked since 2019).

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About Dr. Raja Rajeswara Rao Paladugu M.d. NPPES

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

DR. RAJA RAJESWARA RAO PALADUGU M.D. (NPI 1972570232) is an individual hospitalist provider in North Wilkesboro, North Carolina, licensed in North Carolina (200300274) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972570232

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RAJA RAJESWARA RAO PALADUGUCredential: M.D.

Location Address1370 W D STNorth Wilkesboro, NC 28659-3506

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 651-8100 · Fax (336) 716-0030

Phone(336) 651-8100

Fax(336) 716-0030

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateMarch 7, 2006

Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1972570232 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 · 200300274✔ Licensed in SC · 19254

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 19254 (SC)

1370 W D ST, North Wilkesboro, NC 28659

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Other Identifiers 8

OtherDQ5333SC · Railroad Medicare

MedicaidT32550SC

MedicaidGP4690SC

Other1316155112SC · Group Npi

MedicaidGP5407SC

Other110150751SC · Railroad Medicare

OtherP00437298SC · Railroad Medicare

Other1578880043SC · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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. Raja Rajeswara Rao Paladugu 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 ID3274570742

PECOS Enrollment IDI20050415000406, I20220104001888

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 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.

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.

293 services287 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.

32 services19 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.

25 services25 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.

24 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340064

Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County

Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340096

Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County

Emergency services

St Francis-Downtown

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420023

LocationOne St Francis DrGreenville, SC 29601 · Greenville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28659 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.

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.

WILLIAM ARNOLD STELLAR MD

Internal Medicine (Cardiovascular Disease)

1370 W D ST
NORTH WILKESBORO, NC 28659

Wilkes County (336) 651-8100

JEFFREY WAREN HINSHAW PAC

Physician Assistant

1370 W D ST
N WILKESBORO, NC 28659

Wilkes County (336) 716-2255

MARY JANE LEWIS CRNA

Nurse Anesthetist, Certified Registered

1370 W D ST
N WILKESBORO, NC 28659

Wilkes County (336) 651-8100

DR. WHITNEY MARIE PLUNKETT M.D.

Emergency Medicine

1370 W D ST
NORTH WILKESBORO, NC 28659

Wilkes County (336) 716-2255

DR. ALICE MARIE HORRELL DO

Emergency Medicine

1370 W D ST
NORTH WILKESBORO, NC 28659

Wilkes County (336) 716-2255

DENNIS KIMBLETON MD

Emergency Medicine

1370 W D ST
NORTH WILKESBORO, NC 28659

Wilkes County (336) 651-8100

MR. WUN CHI AUGUSTIN D.O.

Emergency Medicine

1370 W D ST
NORTH WILKESBORO, NC 28659

Wilkes County (336) 716-2255

MR. JOSHUA ISAAC TROYER CRNA

Nurse Anesthetist, Certified Registered

1370 W D ST
NORTH WILKESBORO, NC 28659

Wilkes County (336) 651-8100

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 Raja Paladugu's NPI number?

The NPI number for Raja Paladugu is 1972570232. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Raja Paladugu located?

Raja Paladugu practices at 1370 W D St, North Wilkesboro, NC 28659. The listed phone number is (336) 651-8100.

What is Raja Paladugu's specialty?

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

Is Raja Paladugu enrolled in Medicare?

Yes. Raja Paladugu 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 Raja Paladugu accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Raja Paladugu 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 Raja Paladugu affiliated with any hospitals?

According to CMS data, Raja Paladugu is affiliated with North Carolina Baptist Hospital, Wilkes Regional Medical Center, Lexington Memorial Hospital Inc and St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Raja Paladugu 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.