Active NPI
Phuong H. Batouli, PA-C
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1356588073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05476
- Practice address
- 12341 Strickland Rd
Suite 102
Raleigh, NC 27613-1273 - Phone
- (919) 865-8000
- Fax
- (919) 865-8020
- NPI assigned
- Jan 16, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05476 | NC | Primary |
Addresses
Primary practice location
12341 Strickland Rd
Suite 102
Raleigh, NC 27613-1273
Mailing address
12341 Strickland Rd
Suite 102
Raleigh, NC 27613-1273
Phone (919) 865-8000
Other names 1
- Ms. Phuong Quoc Ho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10900 World Trade Blvd
Raleigh, NC 27617-4202
12341 Strickland Rd
Suite 102
Raleigh, NC 27613-1273
PO Box
Suite 18563
Raleigh, NC 27619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05476 | NC | MD | Physician Assistant |
Interoperability endpoints
- phuongbatouli@rcmg.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1356588073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12341 STRICKLAND RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131273",
"telephone_number": "919-865-8000",
"fax_number": "919-865-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12341 STRICKLAND RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131273",
"telephone_number": "919-865-8000",
"fax_number": "919-865-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATOULI",
"first_name": "PHUONG",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHUONG",
"last_name": "HO",
"middle_name": "QUOC",
"prefix": "MS.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 23, 2017; 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.