Active NPI
Ellen Deflora, MD
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1275612160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34296
- Practice address
- 3124 Blue Ridge Rd
Raleigh, NC 27612 - Phone
- (919) 782-0021
- Fax
- (919) 571-0825
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34296 | NC | Primary |
Addresses
Primary practice location
3124 Blue Ridge Rd
Raleigh, NC 27612
Mailing address
5 Bay Ridge CT
Durham, NC 27713
Phone (919) 453-0235
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1252688 | Other | NC | UNITED HEALTHCARE |
| 60890 | Other | NC | MEDCOST |
| 7409331 | Other | NC | AETNA |
| 116725 | Other | NC | WELLPATH |
| 2748521 | Other | NC | CIGNA |
| 27789 | Other | NC | BCBS OF NC |
| 8927789 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1275612160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BAY RIDGE CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-453-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 BLUE RIDGE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27612",
"telephone_number": "919-782-0021",
"fax_number": "919-571-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFLORA",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "34296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1252688",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "60890",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7409331",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "116725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2748521",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "27789",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8927789",
"state": "NC"
}
],
"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 Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.