NPIMap

Individual provider Active NPI

Vernon Watson Pugh III, MD

  • Vascular & Interventional Radiology Physician
  • Raleigh, NC
National Provider Identifier
1083683726
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
38172 Issued in NC
Practice address
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone
(919) 522-9479
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38172 NC
Vascular & Interventional Radiology Physician 2085R0204X 38172 NC Primary

Addresses

Primary practice location

3400 Wake Forest Rd
Raleigh, NC 27609-7317

Mailing address

100 Canford Way
Holly Springs, NC 27540-6372

Other practice location 1

114 Wind Chime Ct
Raleigh, NC 27615-6433
Phone (919) 847-6431

Other identifiers 1

IdentifierTypeStateIssuer
8969456MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000424 NC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3375693047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

5601 Arringdon Park Dr
Suite 130
Morrisville, NC 27560-5676
Phone (919) 385-2890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Duke University Health System, Inc. Diagnostic Radiology CurrentSince Sep 7, 2021 Accepting new patients
Duke University Health System, Inc. Diagnostic Radiology CurrentSince Sep 14, 2020 Accepting new patients
Duke University Health System Inc Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Duke University Health System, Inc. Diagnostic Radiology CurrentSince Nov 6, 2024 Accepting new patients
Duke University Health System Inc Diagnostic Radiology CurrentSince May 10, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 21, 2023 Accepting new patients
Duke University Health System, Inc. Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 21, 2023 Accepting new patients
Duke University Health System Inc Diagnostic Radiology CurrentSince Aug 7, 2018 Accepting new patients

Locations

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

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

5601 Arringdon Park Dr
Ste 130
Morrisville, NC 27560
Phone (919) 385-2890

5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: vpugh60267@direct.medicine.duke.edu

Organizations & group practices 10

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 6

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1083683726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANFORD WAY",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097317",
            "telephone_number": "919-522-9479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Wind Chime Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156433",
            "country_code": "US",
            "telephone_number": "919-847-6431",
            "fax_number": "919-847-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "VERNON",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "38172",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "38172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8969456",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.