Organization Active NPI

Diabetes Thyroid & Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Elizabeth City, NC
National Provider Identifier
1245292911
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES THYROID & ENDOCRINOLOGY
Practice address
1134 N Road St Ste 6
Elizabeth City, NC 27909-3365
Phone
(252) 335-5128
Fax
(252) 562-6704
NPI assigned
Apr 6, 2006
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dr. Suvinay B Paranjape, M.D.NPI 1669441200
Title
President
Phone
(252) 335-5128

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 Primary

Addresses

Primary practice location

1134 N Road St Ste 6
Elizabeth City, NC 27909-3365

Mailing address

1134 N Road St Ste 6
Elizabeth City, NC 27909-3365
Phone (252) 335-5128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060523000144 NC Part B Supplier - Clinic/Group Practice 3173534559 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabeth City, 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
34D1060013Diabetes Thyroid and Endocrinology Center1134 North Road Street, Suite 6, Elizabeth City, NC 27909Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

1121 N Road St
Ste A
Elizabeth Cty, NC 27909
Phone (252) 338-2144

1134 N Road St
Ste 6
Elizabeth Cty, NC 27909
Phone (252) 335-5128

5200 N Croatan Hwy
#4
Kitty Hawk, NC 27949
Phone (252) 255-6118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1245292911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST STE 6",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-335-5128",
            "fax_number": "252-562-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST STE 6",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-335-5128",
            "fax_number": "252-562-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES THYROID & ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "PARANJAPE",
        "authorized_official_first_name": "SUVINAY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-335-5128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.