Individual provider Active NPI

David Thomas Outlaw, MD

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1013913219
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200000289 Issued in NC
Practice address
224 High House Rd
Ste 100
Cary, NC 27513-4278
Phone
(919) 380-7531
Fax
(919) 380-0686
NPI assigned
Jun 22, 2005
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200000289 NC Primary
Pediatrics Physician 208000000X 200000289 NC

Addresses

Primary practice location

224 High House Rd
Ste 100
Cary, NC 27513-4278

Mailing address

224 High House Rd
Ste 100
Cary, NC 27513-4278
Phone (919) 380-7531

Other identifiers 1

IdentifierTypeStateIssuer
89126GWMedicaidNC

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
I20100824001162 NC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3476677659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians
Internal Medicine and Pediatrics Associates PAGroup PAC ID 8820035009, 5 clinicians

Practice addresses (Care Compare)

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

224 High House Rd
Suite 100
Cary, NC 27513-4278
Phone (919) 380-7531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatrics Associates, PA Internal Medicine CurrentSince Jun 20, 2002 Accepting new patients
Internal Medicine and Pediatrics Association CurrentSince Jun 20, 2002 Accepting new patients

Locations

224 High House Rd
Ste 100
Cary, NC 27513
Phone (919) 380-1189

Interoperability endpoints

  • Direct secure messaging: david.outlaw@impa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDAAA/Endpoint/EJDAAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1013913219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HIGH HOUSE RD",
            "address_2": "STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134278",
            "telephone_number": "919-380-7531",
            "fax_number": "919-380-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HIGH HOUSE RD",
            "address_2": "STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134278",
            "telephone_number": "919-380-7531",
            "fax_number": "919-380-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200000289",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200000289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126GW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.