Individual provider Active NPI

Caitlin Greskovich Haydek, M.D.

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1255795860
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0065482 Issued in CO
Practice address
410 Market St Ste 400a
Chapel Hill, NC 27516-4061
Phone
(984) 974-3900
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X DR.0065482 CO Primary

Addresses

Primary practice location

410 Market St Ste 400a
Chapel Hill, NC 27516-4061

Mailing address

Community Medicine, Pediatrics
777 Bannock St, MC 1914
Denver, CO 80204
Phone (303) 436-4949

Other practice location 1

13123 E 16th Ave # B570
Aurora, CO 80045-7106
Phone (720) 777-8445

Other practice location 2

1665 Aurora Ct Bldg 3
Aurora, CO 80045-2517
Phone (404) 727-5658

Other practice location 3

Community Medicine, Pediatrics
777 Bannock St, MC1914
Denver, CO 80204
Phone (303) 436-4949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chaydek1001650@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210729002443 CO Practitioner - DermatologyPractitioner - Pediatric Medicine 1153747050 Reassigns benefits to 1 organization
I20240327004218 NC Practitioner - Dermatology 1153747050 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Sep 1, 2021 Accepting new patients
University of North Carolina at Chapel Hill Multi-Specialty CurrentSince Jan 8, 2024 Accepting new patients
Denver Health and Hospital Authority Multi-Specialty CurrentSince Sep 1, 2021 Accepting new patients
Park Ophthalmology Multi-Specialty PastSince Jan 8, 2024 Accepting new patients

Locations

777 Bannock St
#1914
Denver, CO 80204
Phone (303) 436-4282

777 Bannock St
Denver, CO 80204

410 Market St
Ste 400B
Chapel Hill, NC 27516
Phone (984) 974-3685

410 Market St
Ste 400A
Chapel Hill, NC 27516
Phone (984) 974-3900

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2201 Old NC Highway 86
Hillsborough, NC 27278
Phone (910) 818-4606

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

3921 Sunset Ridge Rd
Ste 202
Raleigh, NC 27607
Phone (919) 783-7877

Interoperability endpoints

  • Direct secure messaging: chaydek1001650@direct.unc.nchie.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1255795860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY MEDICINE, PEDIATRICS",
            "address_2": "777 BANNOCK ST, MC 1914",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-436-4949",
            "fax_number": "303-436-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave # B570",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-8445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Aurora Ct Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452517",
            "country_code": "US",
            "telephone_number": "404-727-5658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Community Medicine, Pediatrics",
            "address_2": "777 Bannock St, MC1914",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80204",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-436-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYDEK",
        "first_name": "CAITLIN",
        "middle_name": "GRESKOVICH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0065482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaydek1001650@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "410 Market St Ste 400A",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275164061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.