Organization Active NPI

Capital Physicians Group, PA

Doing business as Capital Physicians Group

  • Specialist
  • Raleigh, NC
National Provider Identifier
1184650608
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAPITAL PHYSICIANS GROUP, PA
Doing business as
Capital Physicians Group
Practice address
3126 Blue Ridge Rd
Raleigh, NC 27612-8006
Phone
(919) 787-0486
Fax
(919) 787-9931
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mohammad H Baloch, MD
Title
Physician/ Owner
Phone
(919) 787-0486

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Preferred Provider Organization 305R00000X
Point of Service 305S00000X

Addresses

Primary practice location

3126 Blue Ridge Rd
Raleigh, NC 27612-8006

Mailing address

3126 Blue Ridge Rd
Raleigh, NC 27612-8006
Phone (919) 787-0486

Other identifiers 1

IdentifierTypeStateIssuer
890158KMedicaidNC

Other names 1

  • Capital Physicians Group Doing business as

National Provider Directory

National Provider Directory

Locations

3126 Blue Ridge Rd
Raleigh, NC 27612
Phone (919) 783-5979

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1184650608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128006",
            "telephone_number": "919-787-0486",
            "fax_number": "919-787-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128006",
            "telephone_number": "919-787-0486",
            "fax_number": "919-787-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL PHYSICIANS GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BALOCH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "919-787-0486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890158K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.