Individual provider Active NPI

Christopher Occhino, MD

  • Emergency Medicine Physician
  • Raleigh, NC
National Provider Identifier
1033163993
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2013-00280 Issued in NC
Practice address
4513 Pitt St
Raleigh, NC 27609-5654
Phone
(716) 725-9852
Fax
(716) 204-4501
NPI assigned
May 22, 2006
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2013-00280 NC Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 229465-1 NY

Addresses

Primary practice location

4513 Pitt St
Raleigh, NC 27609-5654

Mailing address

4513 Pitt St
Raleigh, NC 27609-5654
Phone (716) 725-9852

Other identifiers 1

IdentifierTypeStateIssuer
02495458MedicaidNY

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
I20130807000896 NC Practitioner - Emergency MedicinePractitioner - Family Practice 7012819097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
State University of New York at Buffalo School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sampson Regional Emergency Professional Services, LLCGroup PAC ID 6406119239, 6 clinicians

Practice addresses (Care Compare)

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 592-8511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229465-1NYMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Wilson Emergency Physician Partners PLLC Emergency Medicine CurrentSince Jun 11, 2017 Accepting new patients
Sampson Regional Emergency Professional Services, LLC Emergency Medicine CurrentSince Feb 10, 2018 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
General Physician, PC PastSince Apr 1, 2016 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine Past Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Organizations & group practices 6

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 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1033163993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 PITT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095654",
            "telephone_number": "716-725-9852",
            "fax_number": "716-204-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 PITT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095654",
            "telephone_number": "716-725-9852",
            "fax_number": "716-204-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCCHINO",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2013-00280",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "229465-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02495458",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.