NPIMap

Individual provider Active NPI

Martus Zheng Quan GN

  • Urology Physician
  • Raleigh, NC
National Provider Identifier
1114419231
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2023-00601 Issued in NC
Practice address
3480 Wake Forest Rd Ste 506
Raleigh, NC 27609-7376
Phone
(919) 862-5600
Fax
(919) 862-5610
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2023-00601 NC Primary

Addresses

Primary practice location

3480 Wake Forest Rd Ste 506
Raleigh, NC 27609-7376

Mailing address

3480 Wake Forest Rd Ste 506
Raleigh, NC 27609-7376
Phone (919) 862-5600

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
I20240202002167 NC Practitioner - Urology 1951656990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Dec 31, 2023 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

10950 Chapel Hill Rd
Ste A
Morrisville, NC 27560
Phone (919) 327-1630

10950 Chapel Hill Rd
Morrisville, NC 27560
Phone (919) 327-1630

10950 Chapel Hill Rd
Ste B
Morrisville, NC 27560
Phone (919) 327-1630

3480 Wake Forest Rd
Ste 506
Raleigh, NC 27609
Phone (919) 420-5000

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

3400 Wake Forest Rd
Ste 310
Raleigh, NC 27609

Interoperability endpoints

  • Direct secure messaging: mgn554289@direct.medicine.duke.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1114419231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 WAKE FOREST RD STE 506",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097376",
            "telephone_number": "919-862-5600",
            "fax_number": "919-862-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WAKE FOREST RD STE 506",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097376",
            "telephone_number": "919-862-5600",
            "fax_number": "919-862-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GN",
        "first_name": "MARTUS",
        "middle_name": "ZHENG QUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2023-00601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.