NPIMap

Individual provider Active NPI

Robert Adjamah Aryeetey, MD

  • Infectious Disease Physician
  • Statesville, NC
National Provider Identifier
1104871581
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2005-00729 Issued in NC
Practice address
276 Old Mocksville Road
Suite 1100
Statesville, NC 28625-1951
Phone
(704) 878-2523
Fax
(704) 878-6417
NPI assigned
May 23, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2005-00729 NC Primary

Addresses

Primary practice location

276 Old Mocksville Road
Suite 1100
Statesville, NC 28625-1951

Mailing address

276 Old Mocksville Road
Suite 1100
Statesville, NC 28625-1951
Phone (704) 878-2523

Other identifiers 1

IdentifierTypeStateIssuer
5902405MedicaidNC

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
I20060214000711 NC Practitioner - Infectious Disease 1951316884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

276 Old Mocksville Rd
Suite 1100
Statesville, NC 28625-1951
Phone (704) 878-2523

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00729NCMDInfectious Disease Physician
22701SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Infectious Diseases, Inc Infectious Disease CurrentSince Nov 1, 2006 Accepting new patients

Locations

170 Medical Park Rd
Ste 311
Mooresville, NC 28117
Phone (704) 878-2523

276 Old Mocksville Rd
Ste 1100
Statesville, NC 28625
Phone (704) 878-2523

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4695/brand/5/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGIDAA/Endpoint/BGIDAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Iredell Davis Behavioral Health HospitalStatesville, NC, CCN 344036 Hospital Corporate Director (100%) Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1104871581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE ROAD",
            "address_2": "SUITE 1100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251951",
            "telephone_number": "704-878-2523",
            "fax_number": "704-878-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE ROAD",
            "address_2": "SUITE 1100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251951",
            "telephone_number": "704-878-2523",
            "fax_number": "704-878-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYEETEY",
        "first_name": "ROBERT",
        "middle_name": "ADJAMAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2005-00729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902405",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.