Teresa Dolores Wargovich, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2013-01306 Issued in NC

Practice address

5200 N Croatan Hwy
Beach Medical Care, LTD.
Kitty Hawk, NC 27949

Phone

(252) 261-4187

Fax

(252) 261-5182

NPI assigned

Feb 5, 2007

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beach Medical PLLCGroup PAC ID 1658761408, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health and Hospice Home health agency, Nags Head, NC, CCN 347074
• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24390/brand/1/csg/1/fhir/r4
• Direct secure messaging: teresa.wargovich.1@24390.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beach Medical PLLC

  • Multi-Specialty Clinic/Center
  • Kitty Hawk, NC
  • NPI 1659941078
  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC

  Medicare reassignment NPD
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adoration Home Health Care Virginia LLC

  dba Adoration Home Health and Hospice

  • Home Health Agency
  • Nags Head, NC
  • NPI 1184296279
  Care Compare affiliation
• Sentara Albemarle Regional Medical Center

  dba Sentara Albemarle Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation
• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253
  Care Compare affiliation

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1225177488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "address_2": "BEACH MEDICAL CARE, LTD.",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "27949",
            "telephone_number": "252-261-4187",
            "fax_number": "252-261-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARGOVICH",
        "first_name": "TERESA",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01306",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301052029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Angels of Northeastern North Carolina Inc.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2000)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #17516)
• Dana S. Walker, M. D.
• Michael Howard Weeks, HIS
• Leah H Woolridge, APRN, FNP-BC
• Michael R Zaritsky, DDS

• Family Medicine Physician in Kitty Hawk, NC
• Providers in Kitty Hawk, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.

Verify at the official NPI Registry.