Wake Family Medicine PC
NPI 1215162466 · General Practice Physician · Cary, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wake Family Medicine PC is a General Practice Physician organization in Cary, NC (NPI 1215162466).
Provider details
- NPI number
- 1215162466
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mrinalini Kodumagulla, Owner/Physican(919) 395-3491
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-18
- Last updated
- 2019-09-30
Frequently asked questions
- What is Wake Family Medicine PC's NPI number?
- Wake Family Medicine PC's National Provider Identifier (NPI) is 1215162466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wake Family Medicine PC?
- Wake Family Medicine PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Wake Family Medicine PC located?
- Wake Family Medicine PC's practice location on file with NPPES is 1831 Lake Pine Dr Ste 200, Cary, NC 27511-6050.
- What is Wake Family Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Wake Family Medicine PC is (919) 380-1849.
- Does Wake Family Medicine PC accept Medicare?
- Wake Family Medicine PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wake Family Medicine PC?
- The authorized official listed on Wake Family Medicine PC's NPPES record is Mrinalini Kodumagulla, Owner/Physican. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wake Family Medicine PC's NPI active?
- Yes — Wake Family Medicine PC's NPI (1215162466) is active in the NPPES registry as of the last update on 2019-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.