NPIMap

Organization Active NPI

Performance Orthopaedic Surgery & Sports Medicine, PA

  • Orthopaedic Surgery Physician
  • Cary, NC
National Provider Identifier
1144464918
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2008-00691 Issued in NC
Legal business name
PERFORMANCE ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PA
Practice address
1001 Darrington Drive
Suite 100
Cary, NC 27513
Phone
(919) 882-6100
Fax
(919) 877-4797
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Milan Mason Digiulio, MDNPI 1538125950
Title
President
Phone
(919) 882-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 2008-00691 NC Primary

Addresses

Primary practice location

1001 Darrington Drive
Suite 100
Cary, NC 27513

Mailing address

1001 Darrington Drive
Suite 100
Cary, NC 27513
Phone (919) 882-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090721000253 NC Part B Supplier - Clinic/Group Practice 2567514623 Receives reassigned benefits from 4 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

3701 NW Cary Pkwy
Ste 305
Cary, NC 27513
Phone (919) 876-6755

10010 Falls of Neuse Rd
Ste 200
Raleigh, NC 27614
Phone (919) 306-5829

256 Prospect Park W
Brooklyn, NY 11215
Phone (718) 499-2221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2104/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1144464918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DARRINGTON DRIVE",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-882-6100",
            "fax_number": "919-877-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DARRINGTON DRIVE",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-882-6100",
            "fax_number": "919-877-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "DIGIULIO",
        "authorized_official_first_name": "MILAN",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-882-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2008-00691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.