Individual provider Active NPI

Konrad Michael Dziamski, M.D.

  • Rheumatology Physician
  • Durham, NC
National Provider Identifier
1043630502
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2023-03036 Issued in NC
Practice address
2222 E NC Highway 54 Ste 200
Durham, NC 27713-5271
Phone
(919) 405-2040
Fax
(919) 747-4195
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101275460 VA
Rheumatology Physician 207RR0500X TP276 KY
Rheumatology Physician 207RR0500X 0101275460 VA
Rheumatology Physician 207RR0500X 2023-03036 NC Primary
Rheumatology Physician 207RR0500X MD466766 PA

Addresses

Primary practice location

2222 E NC Highway 54 Ste 200
Durham, NC 27713-5271

Mailing address

2222 E NC Highway 54 Ste 200
Durham, NC 27713-5271
Phone (919) 405-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220930000730 VA Practitioner - Rheumatology 0143567750 Reassigns benefits to 1 organization
I20231107000125 NC Practitioner - Rheumatology 0143567750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shanahan Rheumatology and Immunotherapy, PLLCGroup PAC ID 0749322808, 3 clinicians

Practice addresses (Care Compare)

2222 E NC Hwy 54
Suite 200
Durham, NC 27713-5271
Phone (919) 405-2040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-03036NCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Current Accepting new patients
Shanahan Rheumatology and Immunotherapy, PLLC Rheumatology CurrentSince Jan 1, 2026 Accepting new patients
Durhamnc Care Inc CurrentSince Jan 1, 2026 Accepting new patients
FHPG, LLC CurrentSince Dec 19, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Pinehurst Medical Clinic, Inc. Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
FHPG, LLC CurrentSince Dec 19, 2024 Accepting new patients
Sanford Cardiology, PLLC CurrentSince Oct 22, 2023 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

2222 E NC Highway 54
Ste 200
Durham, NC 27713
Phone (919) 405-2040

2222 E NC Highway 54
Durham, NC 27713

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

155 Memorial Dr
#0
Pinehurst, NC 28374

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
#0
Raeford, NC 28376

925 S Long Dr
#0
Rockingham, NC 28379

110 Fields Dr
Ste A
Sanford, NC 27330
Phone (919) 777-9005

110 Fields Dr
Sanford, NC 27330
Phone (919) 774-6320

1816 Doctors Dr
Sanford, NC 27330
Phone (919) 708-1555

1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

4001 Coliseum Dr
Ste 310A
Hampton, VA 23666
Phone (757) 431-7771

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: konraddziamski@phmc.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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 4

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1043630502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E NC HIGHWAY 54 STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135271",
            "telephone_number": "919-405-2040",
            "fax_number": "919-747-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E NC HIGHWAY 54 STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135271",
            "telephone_number": "919-405-2040",
            "fax_number": "919-747-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIAMSKI",
        "first_name": "KONRAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101275460",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "TP276",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101275460",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2023-03036",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD466766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.