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  7. NPI Record 1497916415

DR. HITESH AVAIYA MD
Complete NPI Record 1497916415
Internal Medicine in Sanford, NC

NPI Status: Active since June 23, 2008

Contact Information

1135 CARTHAGE ST
SANFORD, NC
ZIP 27330
Phone: (262) 627-0941

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Name Prefix Text
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Provider Gender Code
  22. Healthcare Provider Taxonomy Code 1
  23. Provider License Number 1
  24. Provider License Number State Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Healthcare Provider Taxonomy Code 2
  27. Provider License Number 2
  28. Provider License Number State Code 2
  29. Healthcare Provider Primary Taxonomy Switch 2
  30. Healthcare Provider Taxonomy Code 3
  31. Provider License Number 3
  32. Provider License Number State Code 3
  33. Healthcare Provider Primary Taxonomy Switch 3
  34. Healthcare Provider Taxonomy Code 4
  35. Provider License Number 4
  36. Provider License Number State Code 4
  37. Healthcare Provider Primary Taxonomy Switch 4
  38. Healthcare Provider Taxonomy Code 5
  39. Provider License Number 5
  40. Provider License Number State Code 5
  41. Healthcare Provider Primary Taxonomy Switch 5
  42. Healthcare Provider Taxonomy Code 6
  43. Provider License Number 6
  44. Provider License Number State Code 6
  45. Healthcare Provider Primary Taxonomy Switch 6
  46. Healthcare Provider Taxonomy Code 7
  47. Provider License Number 7
  48. Provider License Number State Code 7
  49. Healthcare Provider Primary Taxonomy Switch 7
  50. Healthcare Provider Taxonomy Code 8
  51. Provider License Number 8
  52. Provider License Number State Code 8
  53. Healthcare Provider Primary Taxonomy Switch 8
  54. Healthcare Provider Taxonomy Code 9
  55. Provider License Number 9
  56. Provider License Number State Code 9
  57. Healthcare Provider Primary Taxonomy Switch 9
  58. Is Sole Proprietor
  59. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1497916415. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1497916415
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: HITESH
The first name of the provider, if the provider is an individual.
Provider Name Prefix Text: DR.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Credential Text: MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 408 COLE CREST CT
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: CARY
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NC
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 275138374
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 2626270941
The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Practice Location Address: 1135 CARTHAGE ST
The date that a record was last updated or changed.
Provider Business Practice Location Address City Name: SANFORD
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address State Name: NC
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address Postal Code: 273304162
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address Country Code If outside U S : US
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Telephone Number: 2626270941
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/23/2008
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Last Update Date: 7/25/2023
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Provider Gender Code: M
Healthcare Provider Taxonomy Code 1: 207R00000X
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Provider License Number 1: 2011-01123
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Provider License Number State Code 1: NC
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207R00000X
Provider License Number 2: 35.142876
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: OH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207R00000X
Provider License Number 3: 0101267602
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 3: VA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207R00000X
Provider License Number 4: 2019022880
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 4: MO
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 207R00000X
Provider License Number 5: 116775
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 5: GA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 207R00000X
Provider License Number 6: 4301119335
Provider License Number State Code 6: MI
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 207R00000X
Provider License Number 7: 28946
Provider License Number State Code 7: MS
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 208M00000X
Provider License Number 8: 2011-01123
Provider License Number State Code 8: NC
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 207R00000X
Provider License Number 9: ME134766
Provider License Number State Code 9: FL
Healthcare Provider Primary Taxonomy Switch 9: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 7/25/2023