Individual provider Active NPI

Christian Nechyba, M.D.

  • Pediatrics Physician
  • Wake Forest, NC
National Provider Identifier
1083624704
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200200263 Issued in NC
Practice address
3000 Rogers Rd Ste 210
Wake Forest, NC 27587-5745
Phone
(919) 385-2120
Fax
(919) 385-2144
NPI assigned
Aug 8, 2006
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 200200263 NC Primary

Addresses

Primary practice location

3000 Rogers Rd Ste 210
Wake Forest, NC 27587-5745

Mailing address

6808 Clear Meadow CT
Raleigh, NC 27615-5228
Phone (919) 612-8395

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
I20220707000558 NC Practitioner - Pediatric Medicine 5799165874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Johns Hopkins University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Rogers Rd
Suite 210
Wake Forest, NC 27587-3800
Phone (919) 385-3450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200263NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Single Specialty Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Carolina Kids Pediatric Associates Single Specialty Past Accepting new patients

Locations

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

3000 Rogers Rd
Ste 210
Wake Forest, NC 27587
Phone (919) 385-2120

Interoperability endpoints

  • Direct secure messaging: cnechyba520675@direct.medicine.duke.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1083624704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 CLEAR MEADOW CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155228",
            "telephone_number": "919-612-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ROGERS RD STE 210",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875745",
            "telephone_number": "919-385-2120",
            "fax_number": "919-385-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHYBA",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.