Active NPI
Tanvir Haque, MD
- Gastroenterology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2013-00615
- Practice address
- 2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673 - Phone
- (919) 791-2040
- Fax
- (919) 791-2041
- NPI assigned
- May 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2013-00615 | NC | |
| Transplant Hepatology Physician | 207RT0003X | 2013-00615 | NC | |
| Gastroenterology Physician | 207RG0100X | 2013-00615 | NC | Primary |
Addresses
Primary practice location
2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Mailing address
2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Phone (919) 791-2040
Other practice location 1
126 Macnider Hall Clb # 7005
Chapel Hill, NC 27599-7005
Phone (919) 966-6989
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | THAQUE77255@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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131023000230 | NC | Practitioner - Gastroenterology | 7810122157 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Virginia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina MG LLC
Practice addresses (Care Compare)
4225 Macon Pond Rd
Suite 200
Raleigh, NC 27607-6320
Phone (919) 791-2040
Hospital & facility affiliations
- Rex Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 40 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Gastroenterology | Current | Accepting new patients |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 201
Cary, NC 27519
Phone (984) 215-6388
781 Avent Ferry Rd
Ste 204
Holly Springs, NC 27540
Phone (919) 467-3203
850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
2417 Atrium Dr
Ste 150
Raleigh, NC 27607
Phone (919) 791-2075
4225 Macon Pond Rd
Ste 200
Raleigh, NC 27607
Phone (919) 791-2041
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Interoperability endpoints
- thaque77255@direct.unc.nchie.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
Hospital & facility affiliations 1
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": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1235457748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 ATRIUM DR STE 150",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076673",
"telephone_number": "919-791-2040",
"fax_number": "919-791-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 ATRIUM DR STE 150",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076673",
"telephone_number": "919-791-2040",
"fax_number": "919-791-2041"
}
],
"practiceLocations": [
{
"address_1": "126 Macnider Hall Clb # 7005",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997005",
"country_code": "US",
"telephone_number": "919-966-6989",
"fax_number": "919-843-9355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAQUE",
"first_name": "TANVIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2013-00615",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "NC",
"license": "2013-00615",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2013-00615",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "THAQUE77255@DIRECT.UNC.NCHIE.NET",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CDC/TXT",
"address_1": "2417 Atrium Dr Ste 150",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076673",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 13, 2023; 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.