Individual provider Active NPI

Deepak Pasi, M.D.

  • Interventional Cardiology Physician
  • Raleigh, NC
National Provider Identifier
1215936398
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
26967 Issued in NC
Practice address
4414 Lake Boone Trail
Suite 402
Raleigh, NC 27607-7520
Phone
(919) 784-5600
Fax
(919) 784-5601
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26967 NC
Cardiovascular Disease Physician 207RC0000X 26967 NC
Interventional Cardiology Physician 207RI0011X 26967 NC Primary

Addresses

Primary practice location

4414 Lake Boone Trail
Suite 402
Raleigh, NC 27607-7520

Mailing address

2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Phone (919) 787-5380

Other identifiers 1

IdentifierTypeStateIssuer
8965780MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpasi7170@direct.UNC.nchie.net Direct

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
I20040702001143 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759368087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2800 Blue Ridge Rd
Suite 400
Raleigh, NC 27607-6477
Phone (919) 787-5380

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26967NCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Cardiology Consultants, PA Specialist Current Accepting new patients
North Carolina MG, LLC Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Wakemed Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Rex Physicians LLC Past Accepting new patients

Locations

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093

2800 Blue Ridge Rd
Ste 400
Raleigh, NC 27607
Phone (919) 784-3756

3324 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-7772

11200 Governor Manly Way
Ste 303A
Raleigh, NC 27614
Phone (919) 570-7590

4414 Lake Boone Trl
Ste 402
Raleigh, NC 27607
Phone (919) 567-6133

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: dpasi7170@direct.unc.nchie.net

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.

Hospital & facility affiliations 3

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1215936398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076477",
            "telephone_number": "919-787-5380",
            "fax_number": "919-784-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRAIL",
            "address_2": "SUITE 402",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-784-5600",
            "fax_number": "919-784-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASI",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "26967",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "26967",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "26967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965780",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpasi7170@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2800 Blue Ridge Rd Ste 400",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.