NPIMap

Organization Active NPI

Durham Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1063438513
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DURHAM RADIOLOGY ASSOCIATES, INC.
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 470-5272
Fax
(919) 470-5271
NPI assigned
Jul 15, 2006
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Ripal N Shah, M.D.NPI 1891872099
Title
President
Phone
(919) 470-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

PO Box 936868
Atlanta, GA 31193-6868
Phone (919) 471-5905

Other identifiers 1

IdentifierTypeStateIssuer
8902460MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040429000951 NC Part B Supplier - Clinic/Group Practice 7719974807 Receives reassigned benefits from 22 practitioners
Practice locations: Durham, NC; Oxford, NC
O20241028002201 ME Part B Supplier - Clinic/Group Practice 7719974807 Receives reassigned benefits from 1 practitioner
Practice locations: Hampden, ME
O20260610000235 CA Part B Supplier - Clinic/Group Practice 7719974807 Practice locations: Oak Park, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3215 Guess Rd
Ste 211
Durham, NC 27705
Phone (919) 471-5905

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

4323 Ben Franklin Blvd
Ste 500
Durham, NC 27704
Phone (919) 471-4840

4323 Ben Franklin Blvd
Ste 700
Durham, NC 27704
Phone (919) 471-5905

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1063438513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936868",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936868",
            "telephone_number": "919-471-5905",
            "fax_number": "919-471-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-470-5272",
            "fax_number": "919-470-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM RADIOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RIPAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-470-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902460",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.