Individual provider Active NPI

Caryn Marjorie Hertz, M.D.

  • Anesthesiology Physician
  • Chapel Hill, NC
National Provider Identifier
1093910101
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
200001400925 Issued in NC
Practice address
N2198 Unc Hospitals
CB# 7010
Chapel Hill, NC 27599-7010
Phone
(919) 966-5136
Fax
(984) 974-4873
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 200001400925 NC Primary

Addresses

Primary practice location

N2198 Unc Hospitals
CB# 7010
Chapel Hill, NC 27599-7010

Mailing address

PO Box 271647
Salt Lake City, UT 84127-1647
Phone (919) 966-5136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chertz30360@direct.UNC.nchie.net Direct

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
I20130731000206 NC Practitioner - Anesthesiology 0648411827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200001400925NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jun 1, 2013 Accepting new patients
Chatham Hospital, Inc. CurrentSince Mar 18, 2015 Accepting new patients
University of North Carolina at Chapel Hill Current Accepting new patients
University of North Carolina at Chapel Hill Anesthesiology CurrentSince Jun 1, 2013 Accepting new patients

Locations

101 Manning Dr
#N2198
Chapel Hill, NC 27514

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1093910101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271647",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271647",
            "telephone_number": "919-966-5136",
            "fax_number": "984-974-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2198 UNC HOSPITALS",
            "address_2": "CB# 7010",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997010",
            "telephone_number": "919-966-5136",
            "fax_number": "984-974-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "CARYN",
        "middle_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200001400925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chertz30360@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "N2198 Unc Hospitals",
            "address_2": "CB# 7010",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275997010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.