NPIMap

Individual provider Active NPI

Ronald Glenn Washburn, M.D.

  • Infectious Disease Physician
  • Winston Salem, NC
National Provider Identifier
1245252717
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
26613 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-4228
Phone
(336) 716-2700
Fax
(336) 716-0382
NPI assigned
Jul 24, 2006
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 14287R LA
Infectious Disease Physician 207RI0200X 26613 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-4228

Mailing address

Medical Center Blvd Department of Medicine
Winston Salem, NC 27157-0001
Phone (336) 716-2700

Other practice location 1

1501 Kings Hwy
Department of Medicine
Shreveport, LA 71103-4228
Phone (318) 675-7737

Other identifiers 1

IdentifierTypeStateIssuer
1138631MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SC, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140603001061 LA Practitioner - Internal MedicinePractitioner - Infectious Disease 4385816586
I20190204002828 SC Practitioner - Infectious DiseasePractitioner - Internal Medicine 4385816586 Reassigns benefits to 1 organization
I20220609000424 NC Practitioner - Infectious Disease 4385816586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Duke University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-5490
Phone (984) 215-6050

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26613NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Mar 15, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Infectious Disease Current Accepting new patients
Unc Physicians Network LLC CurrentSince Aug 4, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Dec 13, 2018 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Past Accepting new patients

Locations

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

10 Medical Park Dr
Ste 3
Lexington, NC 27292
Phone (336) 238-4468

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Medical Ctr Blvd
Dept Of Medicine
Winston Salem, NC 27157

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: rwashburn2755037@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1245252717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD DEPARTMENT OF MEDICINE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2700",
            "fax_number": "336-716-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271574228",
            "telephone_number": "336-716-2700",
            "fax_number": "336-716-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-7737",
            "fax_number": "318-675-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "RONALD",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "14287R",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "26613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1138631",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.