Individual provider Active NPI

Netra M Thakur, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1275502494
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0060451 Issued in MD
Practice address
101 Donald Ross Dr
Raleigh, NC 27610-2593
Phone
(919) 250-3320
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0060451 MD Primary

Addresses

Primary practice location

101 Donald Ross Dr
Raleigh, NC 27610-2593

Mailing address

101 Donald Ross Dr
Raleigh, NC 27610-2593
Phone (919) 250-3320

Other practice location 1

9101 Franklin Square Dr
Suite 205
Baltimore, MD 21237-3936
Phone (443) 777-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060451MDMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: nthakur340164@directhisp.wakemed.org

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1275502494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DONALD ROSS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102593",
            "telephone_number": "919-250-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DONALD ROSS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102593",
            "telephone_number": "919-250-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Franklin Square Dr",
            "address_2": "SUITE 205",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373936",
            "country_code": "US",
            "telephone_number": "443-777-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "NETRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0060451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.