Vijaya N Polavaram, MD - Medicare Internal Medicine in Raleigh, NC

Vijaya N Polavaram, MD is a medicare enrolled "Internal Medicine" physician in Raleigh, North Carolina. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Park Urgent Care Pllc, Western Wake Internal Medicine and her current practice location is 10640 Durant Rd, Ste 101, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 870-0197.

Vijaya N Polavaram is licensed to practice in North Carolina (license number 9901226) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669513776.

Contact Information

Vijaya N Polavaram, MD
10640 Durant Rd, Ste 101,
Raleigh, NC 27614-6565
(919) 870-0197
(919) 870-0265

Map and Direction




Physician's Profile

Full NameVijaya N Polavaram
GenderFemale
SpecialityInternal Medicine
Experience32 Years
Location10640 Durant Rd, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Vijaya N Polavaram graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1669513776
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 04/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5294751285
  • Enrollment ID: I20051024000721

Medical Identifiers

Medical identifiers for Vijaya N Polavaram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669513776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 9901226 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Urgent Care Pllc33758731022
Western Wake Internal Medicine36785996512

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vijaya N Polavaram allows following entities to bill medicare on her behalf.
Entity NameWestern Wake Internal Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760523260
PECOS PAC ID: 3678599651
Enrollment ID: O20051019000411
Entity NameDoctors Making Housecalls Internal Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083854897
PECOS PAC ID: 3870647639
Enrollment ID: O20140415001230
Entity NamePark Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871064949
PECOS PAC ID: 3375873102
Enrollment ID: O20190922000014

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vijaya N Polavaram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vijaya N Polavaram, MD
203 Running Creek Rd,
Raleigh, NC 27511

Ph: (919) 870-0197
Vijaya N Polavaram, MD
10640 Durant Rd, Ste 101,
Raleigh, NC 27614-6565

Ph: (919) 870-0197

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.