Individual provider Active NPI

Daniel C Richard, MD

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1063459667
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0099-00122 Issued in NC
Practice address
600 New Waverly PL
Ste 203
Cary, NC 27518-7404
Phone
(919) 859-5650
Fax
(919) 859-5695
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0099-00122 NC Primary

Addresses

Primary practice location

600 New Waverly PL
Ste 203
Cary, NC 27518-7404

Mailing address

3100 Blue Ridge Rd
Ste 300
Raleigh, NC 27612-8002
Phone (919) 859-5650

Other identifiers 2

IdentifierTypeStateIssuer
891210YMedicaidNC
1210YOtherNCBCBS

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
I20040809000924 NC Practitioner - Family Practice 6608848809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Wake Internal Medicine Consultants, Inc.Group PAC ID 9537144027, 42 clinicians

Practice addresses (Care Compare)

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

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

3100 Blue Ridge Rd
Suite 300
Raleigh, NC 27612-8002
Phone (919) 781-7515

3100 Duraleigh Rd
Suite 309
Raleigh, NC 27612-8105
Phone (919) 342-7930

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0099-00122NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Internal Medicine Consultants, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Daniel C Richard MD PLLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Piedmont Medical Associates PA Family Medicine PastSince Apr 9, 2001 Accepting new patients

Locations

3100 Duraleigh Rd
Ste 309
Raleigh, NC 27612
Phone (919) 342-7930

3237 Blue Ridge Rd
Raleigh, NC 27612
Phone (919) 781-7500

3100 Blue Ridge Rd
Ste 300
Raleigh, NC 27612
Phone (919) 781-7500

Interoperability endpoints

  • Direct secure messaging: drichardmd@wimc.trimed.direct-ci.com

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 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1063459667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BLUE RIDGE RD",
            "address_2": "STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128002",
            "telephone_number": "919-859-5650",
            "fax_number": "919-859-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL",
            "address_2": "STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-859-5650",
            "fax_number": "919-859-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0099-00122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891210Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1210Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.