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SISIRA GORTHALA M.D.
NPI 1982165882
Internal Medicine - Cardiovascular Disease in Pinehurst, NC

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
7 REGIONAL CIRCLE, PINEHURST, NC 28374(910) 715-8600(910) 235-7927 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sisira Gorthala M.d. NPPES

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

SISIRA GORTHALA M.D. (NPI 1982165882) is an individual cardiovascular disease provider in Pinehurst, North Carolina, licensed in North Carolina (2025-03305) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1982165882
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSISIRA GORTHALACredential: M.D.
Location Address7 REGIONAL CIRCLEPinehurst, NC 28374-9796
Mailing Address21 Morgan DrNorth Grafton, MA 01536-2212 · (828) 713-8059
Phone(910) 715-8600
Fax(910) 235-7927
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1982165882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 2025-03305
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
7 REGIONAL CIRCLE, Pinehurst, NC 28374
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Secondary Practice Location 1

Location 1101 Nicolls Rd Dept OfStony Brook, NY 11794-0001 · Phone (631) 444-2058 · Fax (631) 444-2493

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

Sisira Gorthala 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 ID5193051803
PECOS Enrollment IDI20251212002554
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.

Hospital Affiliations CMS Care Compare 2

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sisira Gorthala's NPI number?

The NPI number for Sisira Gorthala is 1982165882. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Sisira Gorthala located?

Sisira Gorthala practices at 7 Regional Circle, Pinehurst, NC 28374. The listed phone number is (910) 715-8600.

What is Sisira Gorthala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sisira Gorthala enrolled in Medicare?

Yes. Sisira Gorthala 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 Sisira Gorthala accept?

Health plans from Blue Cross and Blue Shield of NC list Sisira Gorthala 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 Sisira Gorthala affiliated with any hospitals?

According to CMS data, Sisira Gorthala is affiliated with Scotland Memorial Hospital and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sisira Gorthala was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.