Organization Active NPI

Falls Medical Center PA

  • Primary Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1114050291
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
118551 Issued in NC
Legal business name
FALLS MEDICAL CENTER PA
Practice address
10931 Raven Ridge Rd
Ste 115
Raleigh, NC 27614-6499
Phone
(919) 676-0202
Fax
(919) 676-0224
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Abdul Q Sadat, MD
Title
Owner
Phone
(919) 676-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 118551 NC Primary

Addresses

Primary practice location

10931 Raven Ridge Rd
Ste 115
Raleigh, NC 27614-6499

Mailing address

10931 Raven Ridge Rd Ste 115
Raleigh, NC 27614-6499
Phone (919) 676-0202

Other identifiers 2

IdentifierTypeStateIssuer
014WYOtherNCBCBS
8974157MedicaidNC

National Provider Directory

National Provider Directory

Locations

10931 Raven Ridge Rd
Ste 115
Raleigh, NC 27614
Phone (919) 676-0202

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1114050291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-676-0202",
            "fax_number": "919-676-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD",
            "address_2": "STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-676-0202",
            "fax_number": "919-676-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "SADAT",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-676-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "118551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "014WY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.