NPIMap

Individual provider Active NPI

Dominic Evan Boccaccio, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Chapel Hill, NC
National Provider Identifier
1265098578
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2024-02647 Issued in NC
Practice address
Unc Internal Medicine Clinic at Eastowne
100 Eastowne Drive
Chapel Hill, NC 27514
Phone
(984) 974-4462
Fax
(919) 843-0740
NPI assigned
May 13, 2019
Last updated
Sep 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2024-02647 NC Primary

Addresses

Primary practice location

Unc Internal Medicine Clinic at Eastowne
100 Eastowne Drive
Chapel Hill, NC 27514

Mailing address

333 South Columbia Street 126 Macnider Hall CB 7005
Chapel Hill, NC 27599-7005
Phone (919) 966-1043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729002108 NC Practitioner - Geriatric Medicine 3072912716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

101 Green Cedar LN
Chapel Hill, NC 27517-7222
Phone (919) 259-7934

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-02647NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2025 Accepting new patients

Locations

100 Eastowne Dr
Chapel Hill, NC 27514
Phone (984) 974-4462

100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556

100 Eastowne Dr
Fl 56
Chapel Hill, NC 27514
Phone (984) 215-5556

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

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

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

Interoperability endpoints

  • Direct secure messaging: dboccaccio355331@directhisp.wakemed.org
  • Direct secure messaging: dboccaccio726181@direct.unc.nchie.net

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1265098578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SOUTH COLUMBIA STREET 126 MACNIDER HALL CB 7005",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997005",
            "telephone_number": "919-966-1043",
            "fax_number": "919-843-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC INTERNAL MEDICINE CLINIC AT EASTOWNE",
            "address_2": "100 EASTOWNE DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "984-974-4462",
            "fax_number": "919-843-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCACCIO",
        "first_name": "DOMINIC",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2024-02647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.