Individual provider Active NPI

Carol Catherine Lekan, M.D.

  • Procedural Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1265426571
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
34380 Issued in NC
Practice address
10931 Raven Ridge Rd
Ste 101
Raleigh, NC 27614-6499
Phone
(919) 870-6600
Fax
(919) 870-1610
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 34380 NC Primary

Addresses

Primary practice location

10931 Raven Ridge Rd
Ste 101
Raleigh, NC 27614-6499

Mailing address

10931 Raven Ridge Rd
Ste 101
Raleigh, NC 27614-6499
Phone (919) 787-1350

Other identifiers 1

IdentifierTypeStateIssuer
7951593MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000441 NC Practitioner - Dermatology 1658511027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34380NCMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology Affiliates PC Dermatology Past Accepting new patients
Blue Ridge Dermatology Associates Dermatology PastSince Apr 1, 1999 Accepting new patients
Raleigh Dermatology Associates PA Dermatology PastSince Apr 21, 1994 Accepting new patients
Skin Surgery Center PA Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clekan@aadermaffiliates.emadirect.md

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1265426571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-787-1350",
            "fax_number": "919-510-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-870-6600",
            "fax_number": "919-870-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKAN",
        "first_name": "CAROL",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "34380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7951593",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.