Organization Active NPI

Saleeby & Wessels MDS PA

  • Surgery Physician
  • Raleigh, NC
National Provider Identifier
1265494371
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SALEEBY & WESSELS MDS PA
Practice address
2406 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6695
Phone
(919) 787-2542
Fax
(919) 783-8225
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Richard G Saleeby Jr., MDNPI 1073575668
Title
President
Phone
(919) 787-2542

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2406 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6695

Mailing address

2406 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6695
Phone (919) 787-2542

Other practice location 1

3814 Browning Pl
Suite 100
Raleigh, NC 27609-7166
Phone (919) 787-2542

Other practice location 2

3814 Browning Pl
Suite 100
Raleigh, NC 27609-7166
Phone (919) 787-2542

Other identifiers 1

IdentifierTypeStateIssuer
014TWOtherNCBCBS NC

Other names 3

  • SALEEBY & WESSELS MDS Doing business as
  • Saleeby & Saleeby MDS PA Doing business as
  • Saleeby & Wessels Proctology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050314000225 NC Part B Supplier - Clinic/Group Practice 3971558917 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

2406 Blue Ridge Rd
Ste 250
Raleigh, NC 27607
Phone (919) 787-2542

3814 Browning Pl
Ste 100
Raleigh, NC 27609
Phone (919) 787-2542

3814 Browning Pl
Raleigh, NC 27609
Phone (919) 782-2542

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1265494371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD STE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076695",
            "telephone_number": "919-787-2542",
            "fax_number": "919-783-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD STE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076695",
            "telephone_number": "919-787-2542",
            "fax_number": "919-783-8225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3814 Browning Pl",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097166",
            "country_code": "US",
            "telephone_number": "919-787-2542",
            "fax_number": "919-783-8225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3814 Browning Pl",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097166",
            "country_code": "US",
            "telephone_number": "919-787-2542",
            "fax_number": "919-783-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALEEBY & WESSELS MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SALEEBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-787-2542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "014TW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALEEBY & WESSELS MDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saleeby & Saleeby MDS PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saleeby & Wessels Proctology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.