Active NPI
Marat Fudim, M.D.
- Cardiovascular Disease Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2017-00687
- Practice address
- 7624A Hosp N
Cardiology Program Office
Durham, NC 27710 - Phone
- (919) 681-6197
- NPI assigned
- Jul 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 2017-00687 | NC | Primary |
Addresses
Primary practice location
7624A Hosp N
Cardiology Program Office
Durham, NC 27710
Mailing address
2209 S Sterling St Ste 530
Morganton, NC 28655-4093
Phone (828) 580-4230
Other practice location 1
7624A Hosp N
Cardiology program office
Durham, NC 27710-0001
Phone (919) 681-6197
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1234 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (919) 684-8111
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
2351 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
5601 Arringdon Park Dr
Morrisville, NC 27560-5676
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
- Duke Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- mfudim243454@direct.medicine.duke.edu
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1013262419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 S STERLING ST STE 530",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554093",
"telephone_number": "828-580-4230",
"fax_number": "828-580-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7624A HOSP N",
"address_2": "CARDIOLOGY PROGRAM OFFICE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-681-6197"
}
],
"practiceLocations": [
{
"address_1": "7624A Hosp N",
"address_2": "Cardiology program office",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277100001",
"country_code": "US",
"telephone_number": "919-681-6197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUDIM",
"first_name": "MARAT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2017-00687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.