Individual provider Active NPI

Maximiliano Maria Cavallini Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Durham, NC
National Provider Identifier
1316326895
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
209598 Issued in NC
Practice address
209 E Carver St
Durham, NC 27704-2133
Phone
(919) 471-2273
Fax
(919) 479-0881
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 209598 NC Primary

Addresses

Primary practice location

209 E Carver St
Durham, NC 27704-2133

Mailing address

209 E Carver St
Durham, NC 27704-2133
Phone (919) 471-2273

Other practice location 1

3031 Old Clinic Building
CB #7570
Chapel Hill, NC 27599-0001
Phone (984) 974-8017

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
I20190815002841 NC Practitioner - Obstetrics/Gynecology 8628381928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

209 E Carver St
Durham, NC 27704-2133
Phone (919) 471-2273

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2019 Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Locations

209 E Carver St
Durham, NC 27704
Phone (919) 471-2273

200 Perimeter Park Dr
Ste B
Morrisville, NC 27560
Phone (919) 334-0150

7780 Brier Creek Pkwy
Ste 330
Raleigh, NC 27617
Phone (919) 914-9000

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: maximiliano.cavallini.1@7773.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1316326895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E CARVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042133",
            "telephone_number": "919-471-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E CARVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042133",
            "telephone_number": "919-471-2273",
            "fax_number": "919-479-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 Old Clinic Building",
            "address_2": "CB #7570",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "984-974-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVALLINI MARTIN",
        "first_name": "MAXIMILIANO",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "209598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.