DR. RAJA RAJESWARA RAO PALADUGU M.D.
NPI 1972570232
Hospitalist in North Wilkesboro, NC
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 Wilkes Regional Medical Center, and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 8
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. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Raja Paladugu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gaffney, SC 29340
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1952870057 (South Carolina)
- 754 clinicians in this Medicare group
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Travelers Rest, SC 29690
- Reassigned Medicare billing, South Carolina enrollment
- 21 clinicians in this Medicare group
Greenville, SC 29615
- Reassigned Medicare billing, South Carolina enrollment
- 79 clinicians in this Medicare group
Greenville, SC 29601
- Reassigned Medicare billing, South Carolina enrollment
- 74 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina enrollment
- 511 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilkes Regional Medical Center
Acute Care Hospitals · North Wilkesboro, NCSt Francis-Downtown
Acute Care Hospitals · Greenville, SCPhysician 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.
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.
NORTH WILKESBORO, NC 28659
NORTH WILKESBORO, NC 28659
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.
Which organizations bill Medicare for Raja Paladugu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raja Paladugu reassigns Medicare benefits to 6 organizations: Spartanburg Medical Center (Gaffney, SC), Wake Forest University Health Sciences (Winston Salem, NC), Chestnut Hill Mental Health Center, Inc (Travelers Rest, SC), Galen Inpatient Physicians PC (Greenville, SC), Vitalen Inpatient Care, PC (Greenville, SC) and 1 more organization, listed in the Medicare section above. 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 Raja Paladugu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raja Paladugu accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Sunflower Health Plan and Ambetter of North Carolina and 2 other insurers 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 Wilkes Regional Medical Center 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.
# Dr. Raja Rajeswara Rao Paladugu, M.D. · NPI 1972570232
Hospitalist physician in North Wilkesboro, North Carolina. Individual provider, active in the CMS NPPES registry since March 7, 2006.
## Identity
- **NPI:** 1972570232 (Entity type: Individual)
- **Enumerated:** March 7, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 200300274 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1370 W D ST, North Wilkesboro, NC 28659-3506
- **Phone:** (336) 651-8100 · **Fax:** (336) 716-0030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Spartanburg Medical Center (NPI 1316416688, Gaffney, SC); Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC); Chestnut Hill Mental Health Center, Inc (NPI 1386603793, Travelers Rest, SC); Galen Inpatient Physicians PC (NPI 1699514638, Greenville, SC); Vitalen Inpatient Care, PC (NPI 1619558327, Greenville, SC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** July 15, 2024
- **Other identifiers:** Other DQ5333 (SC); Medicaid T32550 (SC); Medicaid GP4690 (SC); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972570232) · Data from the CMS NPPES public registry.