Individual provider Active NPI

Igor Passioura, MD

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1043771991
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2023-02782 Issued in NC
Practice address
Duke Department of Radiology Box 3808 Dumc
Durham, NC 27710-7408
Phone
(919) 684-2711
NPI assigned
Mar 25, 2019
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2023-02782 NC Primary

Addresses

Primary practice location

Duke Department of Radiology Box 3808 Dumc
Durham, NC 27710-7408

Mailing address

PO Box 63362
Charlotte, NC 28263-3362
Phone (646) 668-6427

Other practice location 1

311 Liggett St Apt 508
Durham, NC 27701-4911
Phone (646) 668-6427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, OH, PA, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20240520003363 NC Practitioner - Diagnostic Radiology 1658713896 Reassigns benefits to 1 organization
I20250512003271 FL Practitioner - Diagnostic Radiology 1658713896 Reassigns benefits to 1 organization
I20250624000846 OH Practitioner - Diagnostic Radiology 1658713896 Reassigns benefits to 3 organizations
I20251215002061 PA Practitioner - Diagnostic Radiology 1658713896 Reassigns benefits to 1 organization
I20260616001284 KY Practitioner - Diagnostic Radiology 1658713896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

525 W Chester Pike
Suite 101a
Havertown, PA 19083-4539
Phone (610) 449-2000

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

568 Centre View Blvd
Crestview Hills, KY 41017-3425
Phone (859) 331-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-02782NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince May 5, 2025 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Proscan Imaging of Troy, LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Oct 20, 2025 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Oct 20, 2025 Accepting new patients
CT at Midtown Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Proscan Imaging Gahanna, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients

Locations

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

2463 Nicholasville Rd
Lexington, KY 40503
Phone (800) 642-6805

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000

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

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

525 W Chester Pike
Ste 101A
Havertown, PA 19083
Phone (610) 449-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1043771991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362",
            "telephone_number": "646-668-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUKE DEPARTMENT OF RADIOLOGY BOX 3808 DUMC",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277107408",
            "telephone_number": "919-684-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Liggett St Apt 508",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277014911",
            "country_code": "US",
            "telephone_number": "646-668-6427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSIOURA",
        "first_name": "IGOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2023-02782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.