Active NPI
Adnan Pervez, MD
- Pulmonary Disease Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2012-02157
- Practice address
- 2605 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6475 - Phone
- (919) 784-7460
- Fax
- (919) 784-5698
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48645 | WI | |
| Internal Medicine Physician | 207R00000X | 036.120977 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2012-02157 | NC | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 2012-02157 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 2012-02157 | NC | Primary |
Addresses
Primary practice location
2605 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6475
Mailing address
2605 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6475
Phone (919) 784-7460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34820100 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apervez11589@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2605 Blue Ridge Rd
Suite 190
Raleigh, NC 27607-6475
Phone (919) 784-7460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.120977 | IL | MD | Internal Medicine Physician |
| 48645 | WI | MD | Internal Medicine Physician |
| 2012-02157 | NC | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Pulmonary Disease | Current | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients |
Locations
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
2605 Blue Ridge Rd
Ste 190
Raleigh, NC 27607
Phone (919) 571-3661
4414 Lake Boone Trl
Ste 402
Raleigh, NC 27607
Phone (919) 567-6133
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dunn, NC
- NPI 1922144757
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1013017748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 BLUE RIDGE RD STE 190",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076475",
"telephone_number": "919-784-7460",
"fax_number": "919-784-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 BLUE RIDGE RD STE 190",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076475",
"telephone_number": "919-784-7460",
"fax_number": "919-784-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERVEZ",
"first_name": "ADNAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "48645",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.120977",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2012-02157",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NC",
"license": "2012-02157",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2012-02157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34820100",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apervez11589@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2605 Blue Ridge Rd Ste 190",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.