Michael D Gwinn, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Raleigh, NC
NPI 1134152002 · NPPES record last updated Feb 29, 2016
Key facts
- NPI
- 1134152002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 39180 (NC)
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-8779
- Fax
- (919) 350-8812
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Ohio State University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Rehabilitation and Surgical Associates, PA
Carolina Physical Therapy Associates LLC
Physicians Eldercare PA
Curana Health of North Carolina PLLC
Practice addresses (Care Compare)
10 Aviemore Dr
Pinehurst, NC 28374-9700
Phone (919) 350-8779
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Phone (919) 497-8414
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8779
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
Hospital & facility affiliations
- Firsthealth Hospice
- Liberty Home Care II, LLC
- Wakemed, Raleigh Campus
- Firsthealth Moore Regional Hospital
- Wakemed, Cary Hospital
- Duke University Hospital
- Rex Hospital
- Wakemed Rehab
- Firsthealth Moore Regional Hospital
- Inn at Quail Haven Village
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.63 of 100
- Quality
- 67.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041213000373 | NC | Practitioner - Physical Medicine and Rehabilitation | 4082671979 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39180 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd North Carolina P.C. | Current |
Accepting new patients | |
| Physicians Eldercare PA | Current |
Accepting new patients | |
| Curana Health of North Carolina PLLC | Current |
Accepting new patients | |
| Carolina Rehabilitation and Surgical Associates, PA | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
400 Keisler Dr
Cary, NC 27518
Phone (919) 781-9078
555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
10880 Durant Rd
Ste 324
Raleigh, NC 27614
Phone (919) 645-0116
3809 Computer Dr
Ste 100
Raleigh, NC 27609
Phone (919) 645-0116
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- michael.gwinn.p1@direct.carolinarehab.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 39180 | NC | Yes |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
400 Keisler Dr
Cary, NC 27518-7069
Phone (919) 781-9078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8937966 | Medicaid | NC | |
| 3796G | Other | NC | BCBSNC |
Other providers in Raleigh, NC
- Monica Plocki Guzik
- Genesis Guzman
- Myra Athena Guzman
- Joseph Anthony Guzzo
- Matthew Gwinn
- Chelsey Gwyn
- Gynecology & Laparoscopic Surgeons, PC
- Gynecology and Laparoscopic Surgeons, PC
- H & H Shoe Repair & Pedorthic Facility
- H. Alexander Crisp DMD 4, PLLC
All providers in Raleigh, NC · Physical Medicine & Rehabilitation Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.