Active NPI
Gayle Ackerman Dilalla, MD
- Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 200300234
- Practice address
- 4101 Macon Pond Rd
Raleigh, NC 27607-6319 - Phone
- (919) 782-8200
- Fax
- (919) 781-0440
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 200300234 | NC | Primary |
Addresses
Primary practice location
4101 Macon Pond Rd
Raleigh, NC 27607-6319
Mailing address
4101 Macon Pond Rd
Raleigh, NC 27607-6319
Phone (919) 782-8200
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
- General Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300234 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Tolnitch Surgical Associates, PA | Past | Accepting new patients | |
| Private Diagnostic Clinic, PLLC | Surgery | Past | Accepting new patients |
| Carolina Vascular Surgery and | Past | Accepting new patients | |
| Wound Care Physicians PA | Past | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070
Interoperability endpoints
- gdilalla58671@direct.medicine.duke.edu
Organizations & group practices 5
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
-
- Specialist
- Raleigh, NC
- NPI 1477508505
-
- Surgery Physician
- Raleigh, NC
- NPI 1568744910
-
- General Practice Physician
- Raleigh, NC
- NPI 1033171541
-
- Specialist
- Raleigh, NC
- NPI 1881897395
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1194702910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 MACON POND RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076319",
"telephone_number": "919-782-8200",
"fax_number": "919-781-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 MACON POND RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076319",
"telephone_number": "919-782-8200",
"fax_number": "919-781-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILALLA",
"first_name": "GAYLE",
"middle_name": "ACKERMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "200300234",
"primary": true
}
],
"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 Apr 27, 2018; 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.