Individual provider Active NPI

Philip Dean Bates, M.D.

  • Surgery Physician
  • Morehead City, NC
National Provider Identifier
1104860295
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2009-00305 Issued in NC
Practice address
3714 Guardian Ave
Ste E
Morehead City, NC 28557-4322
Phone
(252) 247-2101
Fax
(252) 247-4675
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2009-00305 NC Primary

Addresses

Primary practice location

3714 Guardian Ave
Ste E
Morehead City, NC 28557-4322

Mailing address

3714 Guardian Ave.
Ste E
Morehead City, NC 28557
Phone (252) 247-2101

Other identifiers 1

IdentifierTypeStateIssuer
5911210MedicaidNC

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
I20090420000386 NC Practitioner - General Surgery 6608840665

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00305NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Physician Consultants LLC Surgery Past Accepting new patients
J. Arthur Dosher Memorial Hospital Past Accepting new patients
Kathy a. Marks, MD, Inc. Past Accepting new patients
Philip D Bates, MD, Inc. Surgery PastSince Oct 14, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1104860295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE.",
            "address_2": "STE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "address_2": "STE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574322",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "PHILIP",
        "middle_name": "DEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2009-00305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.