Individual provider Active NPI

Philip Alexander Paspa, MD

  • Cardiovascular Disease Physician
  • Hickory, NC
National Provider Identifier
1184625188
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
38160 Issued in NC
Practice address
2660 Tate Blvd SE
Hickory, NC 28602-1465
Phone
(828) 261-0009
Fax
(828) 261-0799
NPI assigned
Aug 2, 2005
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 38160 NC Primary
Interventional Cardiology Physician 207RI0011X 38160 NC

Addresses

Primary practice location

2660 Tate Blvd SE
Hickory, NC 28602-1465

Mailing address

2660 Tate Blvd SE
Hickory, NC 28602-1465
Phone (828) 261-0009

Other identifiers 2

IdentifierTypeStateIssuer
060053419OtherNCRAIL ROAD MEDICARE
8965771MedicaidNC

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
I20040504000464 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3577453851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1470 E Gaston St
Suite 400
Lincolnton, NC 28092-4434
Phone (704) 735-7760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
Cardiology Physicians Associates Interventional Cardiology PastSince Aug 6, 1993 Accepting new patients

Locations

2660 Tate Blvd SE
Hickory, NC 28602
Phone (828) 261-0009

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

602 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 239-9400

1470 E Gaston St
Ste 400
Lincolnton, NC 28092
Phone (704) 735-7760

1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736

Interoperability endpoints

  • Direct secure messaging: philip.paspa.1@15786.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1184625188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021465",
            "telephone_number": "828-261-0009",
            "fax_number": "828-216-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021465",
            "telephone_number": "828-261-0009",
            "fax_number": "828-261-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASPA",
        "first_name": "PHILIP",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "38160",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "38160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "060053419",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.