Individual provider Active NPI

Madeleine Rebecca Dinglasan, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1023504743
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1152316 Issued in NC
Practice address
11200 Governor Manly Way Ste 309
Raleigh, NC 27614
Phone
(919) 562-9410
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1152316 NC Primary

Addresses

Primary practice location

11200 Governor Manly Way Ste 309
Raleigh, NC 27614

Mailing address

20 Duke Medicine Cir # 1B1C
Durham, NC 27710-2000
Phone (919) 681-8746

Other practice location 1

200 W Parkview Dr Ste B
Henderson, NC 27536-5958
Phone (919) 562-9410

Other practice location 2

20 Duke Medicine Cir # 1B1C
Durham, NC 27710-2000
Phone (919) 681-8746

Other practice location 3

6602 Knightdale Blvd Ste 310
Knightdale, NC 27545-6526
Phone (919) 562-9410

Other practice location 4

103 Professional Park Ste A
Oxford, NC 27565-2581
Phone (919) 562-9410

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806001853 NC Practitioner - Physician Assistant 5193073252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

10950 Chapel Hill Rd
Morrisville, NC 27560-8852
Phone (919) 684-8111

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

30 Duke Medicine Cir
Durham, NC 27710-3000
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 Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1152316NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Duke Health Integrated Practice, Inc CurrentSince Apr 22, 2024 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

20 Duke Medicine Cir
#1B1C
Durham, NC 27710
Phone (919) 681-8746

30 Duke Medicine Cir
Durham, NC 27710
Phone (919) 421-8158

5601 Arringdon Park Dr
Ste 300
Morrisville, NC 27560
Phone (919) 660-5066

Interoperability endpoints

  • Direct secure messaging: mbreen473747@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.

Hospital & facility affiliations 10

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1023504743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIR # 1B1C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277102000",
            "telephone_number": "919-681-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-562-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Parkview Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365958",
            "country_code": "US",
            "telephone_number": "919-562-9410",
            "fax_number": "919-562-2948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Duke Medicine Cir # 1B1C",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277102000",
            "country_code": "US",
            "telephone_number": "919-681-8746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6602 Knightdale Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275456526",
            "country_code": "US",
            "telephone_number": "919-562-9410",
            "fax_number": "919-562-2948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Professional Park Ste A",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652581",
            "country_code": "US",
            "telephone_number": "919-562-9410",
            "fax_number": "919-562-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINGLASAN",
        "first_name": "MADELEINE",
        "middle_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1152316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.