Individual provider Active NPI

Clifford Harold Schilke, M.D.

  • Psychiatry Physician
  • Cary, NC
National Provider Identifier
1063524510
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2014-00397 Issued in NC
Practice address
1135 Kildaire Farm Rd
Suite 200
Cary, NC 27511-7608
Phone
(919) 846-1611
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2014-00397 NC Primary

Addresses

Primary practice location

1135 Kildaire Farm Rd
Suite 200
Cary, NC 27511-7608

Mailing address

132 Essex Dr
Chapel Hill, NC 27514-1582
Phone (919) 864-1611

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
I20170131001782 NC Practitioner - Psychiatry 4082668165 Reassigns benefits to 2 organizations
Practice locations: Chapel Hill, NC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

630 Weaver Dairy Rd
Suite 104
Chapel Hill, NC 27514-1479
Phone (919) 864-1611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-00397NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B & D Integrated Health Services Psychiatry CurrentSince Sep 4, 2017 Accepting new patients
LLD Laboratories, LLC CurrentSince Sep 4, 2017 Accepting new patients
B & D Integrated Health Services Psychiatry CurrentSince Sep 4, 2017 Accepting new patients
Lehigh Valley Hospital Psychiatry Past Accepting new patients
Lehigh Valley Hospital PastSince Aug 1, 2016 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

249 E NC Highway 54
Ste 310
Durham, NC 27713
Phone (919) 753-1080

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1063524510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ESSEX DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141582",
            "telephone_number": "919-864-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 KILDAIRE FARM RD",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117608",
            "telephone_number": "919-846-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILKE",
        "first_name": "CLIFFORD",
        "middle_name": "HAROLD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2014-00397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.