Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nivetha Vishnuvardhan

Individual provider Hematology & Oncology Physician · NPI 1235667049

Nivetha Vishnuvardhan is a Hematology/Oncology in Clayton, North Carolina. Qualified in 2014, 12 years ago. Practices with Johnston Specialty Physician Services, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2017

Practice location Address checks out

2076 Nc Highway 42 W Ste 130
Clayton, NC 27520-5303
Phone: (919) 585-8833
Fax: (919) 585-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 2023-01444 (NC)

Record details

NPI number1235667049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Johnston Specialty Physician Services,Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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