NPIMap

Individual provider Active NPI

Michelle Ponder, MD, DABOM

  • Endocrinology, Diabetes & Metabolism Physician
  • Durham, NC
National Provider Identifier
1114423704
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
301847 Issued in NC
Practice address
30 Duke Medicine Circle
Clinic 1a
Durham, NC 27710
Phone
(919) 684-3600
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 301847 NC Primary

Addresses

Primary practice location

30 Duke Medicine Circle
Clinic 1a
Durham, NC 27710

Mailing address

40 Duke Medicine Circle
Clinic 1a
Durham, NC 27710
Phone (919) 684-3600

Other practice location 1

234 Crooked Creek Pkwy
Durham, NC 27713-8505
Phone (919) 684-3600

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
I20230922002182 NC Practitioner - Endocrinology 1153666243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 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 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301847NCMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 11, 2023 Accepting new patients

Locations

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

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

40 Duke Medicine Cir
#1A
Durham, NC 27710

234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000

30 Duke Medicine Cir
Durham, NC 27710
Phone (919) 421-8158

30 Duke Medicine Cir
#1A
Durham, NC 27710
Phone (919) 613-4333

Interoperability endpoints

  • Direct secure messaging: mponder487748@direct.medicine.duke.edu

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 and National Provider Directory roles.

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1114423704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIRCLE",
            "address_2": "CLINIC 1A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-684-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DUKE MEDICINE CIRCLE",
            "address_2": "CLINIC 1A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-684-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Crooked Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277138505",
            "country_code": "US",
            "telephone_number": "919-684-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD, DABOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "301847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.