Organization Active NPI

Triangle Endocrinology and Diabetes Clinic PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Apex, NC
National Provider Identifier
1194851071
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
9401482 Issued in NC
Legal business name
TRIANGLE ENDOCRINOLOGY AND DIABETES CLINIC PA
Practice address
1001 W Williams St
Suite 102
Apex, NC 27502-3978
Phone
(919) 363-7576
Fax
(919) 363-7572
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Syed Asif Raza Rizvi, MDNPI 1972639003
Title
President
Phone
(919) 363-7576

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 9401482 NC Primary

Addresses

Primary practice location

1001 W Williams St
Suite 102
Apex, NC 27502-3978

Mailing address

PO Box 1414
Apex, NC 27502-3414
Phone (919) 363-7576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000782 NC Part B Supplier - Clinic/Group Practice 3870686736 Receives reassigned benefits from 1 practitioner
Practice locations: Apex, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2103764Triangle Endocrinology1001 West Williams Street Suite 101, Apex, NC 27502Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1194851071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023414",
            "telephone_number": "919-363-7576",
            "fax_number": "919-363-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-363-7576",
            "fax_number": "919-363-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE ENDOCRINOLOGY AND DIABETES CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SYED ASIF",
        "authorized_official_middle_name": "RAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-363-7576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "9401482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.