Active NPI
David Thomas Outlaw, MD
- Internal Medicine Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200000289
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89126GW | Medicaid | NC |
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
- Internal Medicine
- Education
- Tulane University School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine and Pediatrics Associates, PA | Internal Medicine | Current | Accepting new patients |
| Internal Medicine and Pediatrics Association | Current | Accepting new patients |
Locations
224 High House Rd
Ste 100
Cary, NC 27513
Phone (919) 380-1189
Interoperability endpoints
- david.outlaw@impa.eclinicaldirectplus.com
- 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.
-
- Internal Medicine Physician
- Cary, NC
- NPI 1265446132
-
- Physical Therapist
- Wilson, NC
- NPI 1861450884
-
- Non-Pharmacy Dispensing Site
- Cary, NC
- NPI 1962720185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.