Shqipe Ademi, PA-C
Individual provider Active NPI Physician Assistant · Durham, NC
NPI 1194354928 · NPPES record last updated Oct 31, 2022
Key facts
- NPI
- 1194354928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-11108 (NC)
- Practice address
- 2301 Erwin Rd
Durham, NC 27710-8910 - Phone
- (919) 684-8111
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Physician Services Inc
Practice addresses (Care Compare)
2244 Executive Dr
Hampton, VA 23666-2430
Phone (757) 827-1001
856 J Clyde Morris Blvd
Newport News, VA 23601-1318
856 J Clyde Morris Blvd a
Newport News, VA 23601-1318
Hospital & facility affiliations
- Riverside Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210915000360 | NC | Practitioner - Physician Assistant | 8921404062 | Reassigns benefits to 2 organizations |
| I20240419003651 | VA | Practitioner - Physician Assistant | 8921404062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11108 | NC | MD | Physician Assistant |
| 4881 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Interoperability endpoints
- sademi236545@direct.rivhs.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4881 | CT | |
| Physician Assistant | 363A00000X | 0010-11108 | NC | Yes |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27710-8910
Mailing address
3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-4000
Other providers in Durham, NC
- Bukola O Adegbola
- Timothy Adekoya
- Oluwakemi Adekunle
- Modinat Adenike Adeleye
- Mehdi Mohammad G a Adeli
- Lydia Oluwafunke Ademuwagun
- Madeline Adeniyi
- Elizabeth Aderoju
- Esther Adesina
- Modupe Olufunmilayo Adetunji
All providers in Durham, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.