Individual provider Active NPI

Tom Orli, MD

  • Gastroenterology Physician
  • Mount Airy, NC
National Provider Identifier
1124161476
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200201510 Issued in NC
Practice address
1016 S South St
Mount Airy, NC 27030-5330
Phone
(336) 786-6277
Fax
(336) 786-6747
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200201510 NC Primary

Addresses

Primary practice location

1016 S South St
Mount Airy, NC 27030-5330

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 719-7112

Other identifiers 2

IdentifierTypeStateIssuer
1442UOtherNCBCBS NC
5907400MedicaidNC

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
I20070803000097 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 5496846586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Brody School of Medicine at East Carolina University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

708 S S St
Suite 100
Mount Airy, NC 27030-4589
Phone (336) 789-9176

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy194
Upper gastrointestinal (GI) endoscopy for acid reflux165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Oct 1, 2017 Accepting new patients
Northern Hospital of Surry County Gastroenterology CurrentSince Oct 1, 2017 Accepting new patients
Northern Hospital of Surry County Current Accepting new patients

Locations

110 Dutchman Ct
Elkin, NC 28621
Phone (336) 835-5330

708 S South St
#300
Mount Airy, NC 27030
Phone (336) 783-8030

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

1016 S South St
Mount Airy, NC 27030
Phone (336) 783-8900

708 S South St
Ste 100
Mount Airy, NC 27030
Phone (336) 698-4055

708 S South St
Mount Airy, NC 27030
Phone (336) 719-0011

Interoperability endpoints

  • Direct secure messaging: torli@direct.nrh.nchie.net
  • Direct secure messaging: torli@ngi.gwaydirect.com

Organizations & group practices 3

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 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1124161476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-719-7112",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305330",
            "telephone_number": "336-786-6277",
            "fax_number": "336-786-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLI",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200201510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1442U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.