DR. POURU P. BHIWANDI M. D.
NPI 1376576967
Obstetrics & Gynecology - Gynecology in Raleigh, NC
NPI Status: Active since July 08, 2006
Contact Information
3100 DURALEIGH RD
SUITE 307
RALEIGH, NC
ZIP 27612
Phone: (919) 782-8882
Fax: (919) 782-8028
- Individual
- Female
- Obstetrics & Gynecology
- Gynecology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About POURU BHIWANDI
This page provides the complete NPI Profile along with additional information for Pouru Bhiwandi, a women's health care provider established in Raleigh, North Carolina with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1376576967 assigned on July 2006. The practitioner's primary taxonomy code is 207VG0400X with license number 32197 (NC). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1376576967
- Provider Name
- DR. POURU P. BHIWANDI M. D.
- Other Name
- MS. POURUCHIS P. BHIWANDIWALLA M.D.
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3100 DURALEIGH RD SUITE 307 RALEIGH, NC 27612
- Location Phone
- (919) 782-8882
- Location Fax
- (919) 782-8028
- Mailing Address
- 3100 DURALEIGH RD SUITE 307 RALEIGH, NC 27612
- Mailing Phone
- (919) 782-8882
- Mailing Fax
- (919) 782-8028
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-08-2006
- Last Update Date
- 07-17-2013
- Code Navigator
Women's health care providers like Pouru Bhiwandi treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 32197
- License State
- NC
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D92686 | MEDICARE UPIN (02) | NC |
Medicare Participation & PECOS Enrollment Status
Pouru Bhiwandi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27612 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $125.01
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $31.25
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 87% | 589 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35% | 1279 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 1174 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
Reviews for DR. POURU P. BHIWANDI M. D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 5 | 7 | 6 | 9 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 10 | 7 | 12 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 0 + 7 + 1 + 2 + 9 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1376576967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699774000 | DR. CALHOUN D CUNNINGHAM III M.D. Individual | Otolaryngology (Otology & Neurotology) | 3100 DURALEIGH RD SUITE 300 RALEIGH, NC 27612 (919) 876-4327 |
| 1245205129 | MRS. CHRISTINE ALLRED FRAZIER RN Individual | Registered Nurse | 3100 DURALEIGH RD STE 100 RALEIGH, NC 27612 (919) 571-6465 |
| 1912972076 | MRS. BARBARA B BURNS LPN Individual | Licensed Practical Nurse | 3100 DURALEIGH RD SUITE 100 E BROOKS WILKINS FAMILY PRACTICE RALEIGH, NC 27612 (919) 571-6455 |
| 1649231697 | MRS. ELIZABETH BENDER PURCELL RN Individual | Registered Nurse | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 571-6465 |
| 1457309957 | JULIANA MILLER, MD, PLLC Organization | Internal Medicine (Gastroenterology) | 3100 DURALEIGH RD SUITE 309 RALEIGH, NC 27612 (919) 787-1644 |
| 1053353508 | SOUTHEASTERN IMAGING CONSULTANTS, LLC Organization | Radiology (Body Imaging) | 3100 DURALEIGH RD SUITE 101 RALEIGH, NC 27612 (919) 785-9091 |
| 1760553507 | MRS. CHERYL ANN MCNULTY LPN Individual | Licensed Practical Nurse | 3100 DURALEIGH RD E BROOKS WILKINS FAMILY MEDICINE PA RALEIGH, NC 27612 (919) 571-6465 |
| 1144392176 | MRS. MAUREEN ANN FONTANES RN Individual | Registered Nurse | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 571-6465 |
| 1316082357 | RALEIGH DURHAM MEDICAL GROUP PA Organization | Internal Medicine (Cardiovascular Disease) | 3100 DURALEIGH RD STE 307 RALEIGH, NC 27612 (919) 232-0050 |
| 1609061852 | THE INSTITUTE OF LIFESTYLE AND WEIGHT MANAGEMENT Organization | Clinic/Center | 3100 DURALEIGH RD SUITE 200 RALEIGH, NC 27612 (919) 791-1112 |
| 1457538811 | MRS. CRYSTAL RENEE QUINN RN Individual | Registered Nurse | 3100 DURALEIGH RD SUITE 200 RALEIGH, NC 27612 (919) 571-6465 |
| 1912177395 | CAROLINA BALANCE AND REHABILITATION CENTER Organization | Physical Therapist | 3100 DURALEIGH RD SUITE 310 RALEIGH, NC 27612 (919) 719-9839 |
| 1104154152 | NOVANT MEDICAL GROUP, INC. Organization | Internal Medicine (Cardiovascular Disease) | 3100 DURALEIGH RD RALEIGH, NC 27612 (919) 232-0050 |
| 1568768729 | MR. JOSIAH ALEXANDER MAULTSBY IV LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 866-4207 |
| 1083913040 | MEREDITH BOYETTE Individual | Audiologist | 3100 DURALEIGH RD SUITE 300 RALEIGH, NC 27612 (919) 876-4327 |
| 1790065647 | LINDSAY BROWN PAINTER NP Individual | Nurse Practitioner (Family) | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 788-8797 |
| 1518248004 | KELLIE BUNN PA-C Individual | Physician Assistant | 3100 DURALEIGH RD SUITE 300 RALEIGH, NC 27612 (919) 876-4327 |
| 1568456341 | SHEPHERD F ROSENBLUM M.D. Individual | Orthopaedic Surgery | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 788-8797 |
| 1821324054 | SAMANTHA GRIMES BROWN PT Individual | Physical Therapist | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 788-8797 |
| 1003892365 | MR. DOUGLAS JOSEPH HOLCZER PT Individual | Physical Therapist | 3100 DURALEIGH RD SUITE 100 RALEIGH, NC 27612 (919) 788-8797 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376576967, enumerated in the NPI registry as an "individual" on July 08, 2006
The provider is located at 3100 Duraleigh Rd Suite 307 Raleigh, Nc 27612 and the phone number is (919) 782-8882
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology
The provider might be accepting Accepts: Aetna CVS Health, CareSource, UnitedHealthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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