Individual provider Active NPI

Conrad Flick, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1003949595
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39367 Issued in NC
Practice address
3500 Bush St
Raleigh, NC 27609-7509
Phone
(919) 875-8150
Fax
(919) 875-9577
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39367 NC Primary

Addresses

Primary practice location

3500 Bush St
Raleigh, NC 27609-7509

Mailing address

3500 Bush St
Raleigh, NC 27609-7509
Phone (919) 875-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000603 NC Practitioner - Family Practice 7012962640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medical Associates of Raleigh, PAGroup PAC ID 7012811656, 10 clinicians

Practice addresses (Care Compare)

3500 Bush St
Raleigh, NC 27609-7509
Phone (919) 875-8150

Hospital & facility affiliations

  • Medi Home Health Agency Home health agency, Raleigh, NC, CCN 347237
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions38
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Associates of Raleigh, PA Family Medicine CurrentSince Nov 1, 1999 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

3500 Bush St
Raleigh, NC 27609
Phone (919) 875-8150

3500 Bush St
Ste 103
Raleigh, NC 27609
Phone (919) 875-8150

Interoperability endpoints

  • Direct secure messaging: conradflick@fameasofr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1003949595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BUSH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097509",
            "telephone_number": "919-875-8150",
            "fax_number": "919-875-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BUSH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097509",
            "telephone_number": "919-875-8150",
            "fax_number": "919-875-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "CONRAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "39367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.