Active NPI
Daniel Alberto Roque, M.D.
- Neurology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2012-00403
- Practice address
- 2128 Physicians Office Building
CB #7025
Chapel Hill, NC 27599-0001 - Phone
- (919) 966-8166
- NPI assigned
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Neurology Physician | 2084N0400X | 2012-00403 | NC | Primary |
Addresses
Primary practice location
2128 Physicians Office Building
CB #7025
Chapel Hill, NC 27599-0001
Mailing address
2128 Physicians Office Building
CB #7025
Chapel Hill, NC 27599-0001
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120814000248 | NC | Practitioner - Neurology | 6305092941 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Miami, LM Miller School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of North Carolina at Chapel Hill
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
102 Mason Farm Rd
Chapel Hill, NC 27514-4617
300 Meadowmont Village Cir
Chapel Hill, NC 27517-7518
Hospital & facility affiliations
- Unc Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-00403 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Park Ophthalmology | Past | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
300 Meadowmont Village Cir
Ste 202
Chapel Hill, NC 27517
Phone (984) 974-2950
Interoperability endpoints
- droque12332@direct.unc.nchie.net
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
NC
-
- Family Medicine Physician
- Durham, NC
- NPI 1245879261
-
- Orthopaedic Surgery Physician
- Cary, NC
- NPI 1366042244
-
- Orthopaedic Surgery Physician
- Chapel Hill, NC
- NPI 1548634850
-
- Orthopaedic Surgery Physician
- Chapel Hill, NC
- NPI 1851833883
-
- Orthopaedic Surgery Physician
- Chapel Hill, NC
- NPI 1972977296
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340409600000",
"number": "1295908499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 PHYSICIANS OFFICE BUILDING",
"address_2": "CB #7025",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 PHYSICIANS OFFICE BUILDING",
"address_2": "CB #7025",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-966-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "DANIEL",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2012-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2012-00403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.