Individual provider Active NPI

Robert Joseph Caudle, MD

  • Orthopaedic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1073566766
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32350 Issued in NC
Practice address
3633 Harden Rd
Suite 102
Raleigh, NC 27607-3369
Phone
(919) 788-8797
Fax
(919) 788-8798
NPI assigned
May 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 32350 NC Primary

Addresses

Primary practice location

3633 Harden Rd
Suite 102
Raleigh, NC 27607-3369

Mailing address

3633 Harden Rd
Suite 102
Raleigh, NC 27607-3369
Phone (919) 788-8797

Other identifiers 1

IdentifierTypeStateIssuer
89135A2MedicaidNC

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
I20040403000058 NC Practitioner - Orthopedic Surgery 4880687219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of North Carolina PCGroup PAC ID 1153570783, 26 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

2007 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32350NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of North Carolina PC Orthopaedic Surgery CurrentSince Aug 10, 2012 Accepting new patients
Carolina East Orthopedic Specialists LLC Orthopaedic Surgery Past Accepting new patients
Mid-South Orthopedic Hospitalists LLC Orthopaedic Surgery Past Accepting new patients
Orthopedic Hospitalist of Seaford, LLC Orthopaedic Surgery Past Accepting new patients
DHP of Tennessee PC Orthopaedic Surgery Past Accepting new patients
DHP of West Virginia Inc Orthopaedic Surgery Past Accepting new patients
DHP Emergency Services of Delaware PA Orthopaedic Surgery Past Accepting new patients

Locations

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Interoperability endpoints

  • Direct secure messaging: rcaudle19597@carolinaeastmc.direct-ci.com

Organizations & group practices 7

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 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073566766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 HARDEN RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073369",
            "telephone_number": "919-788-8797",
            "fax_number": "919-788-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 HARDEN RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073369",
            "telephone_number": "919-788-8797",
            "fax_number": "919-788-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "32350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135A2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.