Individual provider Active NPI

Pairoj Rerkpattanapipat, MD

  • Cardiovascular Disease Physician
  • Hickory, NC
National Provider Identifier
1306857883
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2000-00593 Issued in NC
Practice address
2660 Tate Blvd SE
Hickory, NC 28602-1465
Phone
(828) 261-0009
Fax
(828) 261-0799
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2000-00593 NC Primary

Addresses

Primary practice location

2660 Tate Blvd SE
Hickory, NC 28602-1465

Mailing address

2660 Tate Blvd SE
Hickory, NC 28602-1465
Phone (828) 261-0009

Other identifiers 4

IdentifierTypeStateIssuer
2000-00593OtherNCNCMB LICENSE (REACTIVATIN
89126U2MedicaidNC
126U2OtherNCBCBS
P00375319OtherNCRAIL ROAD MEDICARE

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
I20070216000334 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Internal Medicine 5698877918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1041 Morganton Blvd SW
Lenoir, NC 28645-5605
Phone (828) 323-2460

1470 E Gaston St
Suite 400
Lincolnton, NC 28092-4434
Phone (704) 735-7760

2660 Tate Blvd SE
Hickory, NC 28602-1465
Phone (828) 261-0009

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5516

915 Tate Blvd SE
Hickory, NC 28602-4042

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
DLP Cardiology Physicians LLC Cardiovascular Disease Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

2660 Tate Blvd SE
Hickory, NC 28602
Phone (828) 261-0009

602 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 239-9400

1041 Morganton Blvd SW
#200
Lenoir, NC 28645
Phone (828) 991-4660

1470 E Gaston St
Ste 400
Lincolnton, NC 28092
Phone (704) 735-7760

128 Dr Henry Norris Dr
Rutherfordton, NC 28139
Phone (828) 286-3479

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736

Interoperability endpoints

  • Direct secure messaging: pairoj.rerkpattanapipa.1@15786.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1306857883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021465",
            "telephone_number": "828-261-0009",
            "fax_number": "828-261-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021465",
            "telephone_number": "828-261-0009",
            "fax_number": "828-261-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RERKPATTANAPIPAT",
        "first_name": "PAIROJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2000-00593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB LICENSE (REACTIVATIN",
            "identifier": "2000-00593",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126U2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "126U2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00375319",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.