Active NPI
Julie Beth Penzner, MD
- Psychiatry Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 241088
- Practice address
- Duke South Clinic, 40 Medicine Circle
Yellow Zone, Room 4129
Durham, NC 27710 - Phone
- (919) 681-9632
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 241088 | NY | Primary |
Addresses
Primary practice location
Duke South Clinic, 40 Medicine Circle
Yellow Zone, Room 4129
Durham, NC 27710
Mailing address
Duke South Clinic, 40 Medicine Circle
Yellow Zone, Room 4129 Dumc Box 3670
Durham, NC 27710
Phone (919) 681-9632
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
Interoperability endpoints
- jpenzner473833@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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1144487398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DUKE SOUTH CLINIC, 40 MEDICINE CIRCLE",
"address_2": "YELLOW ZONE, ROOM 4129 DUMC BOX 3670",
"city": "DURHAM",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-681-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUKE SOUTH CLINIC, 40 MEDICINE CIRCLE",
"address_2": "YELLOW ZONE, ROOM 4129",
"city": "DURHAM",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-681-9632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENZNER",
"first_name": "JULIE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "241088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.