NPIMap

Organization Active NPI

Med-X Consulting, PC

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1174017511
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MED-X CONSULTING, PC
Practice address
10901 Ashland Mill CT
Raleigh, NC 27617-7765
Phone
(336) 306-9755
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Shahram Tehrani, M.D.NPI 1962489674
Title
Owner
Phone
(336) 306-9755

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X

Addresses

Primary practice location

10901 Ashland Mill CT
Raleigh, NC 27617-7765

Mailing address

10901 World Trade Blvd
Raleigh, NC 27617-4203
Phone (336) 306-9755

Other practice location 1

10901 World Trade Blvd
Raleigh, NC 27617-4203
Phone (336) 306-9755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190322000300 NC Part B Supplier - Clinic/Group Practice 9638419062 Receives reassigned benefits from 25 practitioners
Practice locations: Raleigh, NC; Durham, NC; Jacksonville, NC

National Provider Directory

National Provider Directory

Locations

1900 Scott Ave
Ste 101
Charlotte, NC 28203
Phone (704) 680-3140

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1174017511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 WORLD TRADE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174203",
            "telephone_number": "336-306-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 ASHLAND MILL CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177765",
            "telephone_number": "336-306-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10901 World Trade Blvd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276174203",
            "country_code": "US",
            "telephone_number": "336-306-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED-X CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-306-9755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.