Individual provider Active NPI

Thomas Cook Daubert

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1295295822
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202201207 Issued in NC
Practice address
160 Dental Circle CB#7075
6TH Floor, Burnett-Womack Building
Chapel Hill, NC 27599-7075
Phone
(919) 966-5205
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 202201207 NC Primary

Addresses

Primary practice location

160 Dental Circle CB#7075
6TH Floor, Burnett-Womack Building
Chapel Hill, NC 27599-7075

Mailing address

1119 Hillcrest Cir
Chapel Hill, NC 27514-5934

Other practice location 1

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2725

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
I20220519002175 NC Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology) 2163809716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202201207NCMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: tdaubert139160@direct.unc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1295295822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 HILLCREST CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DENTAL CIRCLE CB#7075",
            "address_2": "6TH FLOOR, BURNETT-WOMACK BUILDING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997075",
            "telephone_number": "919-966-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUBERT",
        "first_name": "THOMAS",
        "middle_name": "COOK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "202201207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.