Camillo Thomas Gualtieri, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

18957 Issued in NC

Practice address

1829 E Franklin St
Chapel Hill, NC 27514

Phone

(919) 933-2000

Fax

(919) 933-2830

NPI assigned

Jan 25, 2006

Last updated

Jun 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

NeuropsychiatryAlso: Psychiatry

Education

Columbia University College of Physicians and Surgeons, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Carolina Neuropsychiatry PAGroup PAC ID 4789643982, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Carolina Neuropsychiatry, P.a.

  • Child & Adolescent Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1265403042
  Medicare reassignment Care Compare group NPD
• North Carolina Neuropsychiatry

  • Child & Adolescent Psychiatry Physician
  • Raleigh, NC
  • NPI 1659688059
  NPD (past) Authorized official
• North Carolina Neuropsychiatry

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
  • NPI 1811204217
  NPD (past)
• North Carolina Neuropsychiatry, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1003432121
  NPD (past)
• North Carolina Therapy Professionals, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1386393775
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wakemed

  dba Wakemed Cary Hospital

  • General Acute Care Hospital
  • Cary, NC
  • NPI 1114993086
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1083684732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-933-2000",
            "fax_number": "919-933-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-933-2000",
            "fax_number": "919-933-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALTIERI",
        "first_name": "CAMILLO",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "18957",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "18957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Grove, LCSWA
• Joseph Marcus Grover, MD
• Natalie Sophia Grover
• Grow Heal Love, Inc
• Fang Gu
• Guardian Angels Home Care of North Carolina LLC (Guardian Angels Home Care of North Carolina)
• Stefanie Jean Guarinello, RN
• Sharon Joann Guarino
• Albert D Guckes, DDS, MSD
• Thomas John Gudzik, PA-C

• Neurology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.