Individual provider Active NPI

Karla Flores Chavez, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1376140632
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12066
Practice address
3225 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8060
Phone
(919) 781-1050
Fax
(919) 510-5090
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12066 Primary

Addresses

Primary practice location

3225 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8060

Mailing address

3225 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8060

Other practice location 1

155 Parkway Office Ct Ste 204
Cary, NC 27518-7427
Phone (919) 781-1050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718001955 NC Practitioner - Physician Assistant 0648651919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Dermatology AssociatesGroup PAC ID 7618941444, 16 clinicians

Practice addresses (Care Compare)

1110 SE Cary Pkwy
Suite 100
Cary, NC 27518-7420
Phone (919) 781-1050

4225 Macon Pond Rd
Suite 300
Raleigh, NC 27607-6320
Phone (919) 781-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA PastSince Apr 24, 2022 Accepting new patients

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1376140632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 BLUE RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 BLUE RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128060",
            "telephone_number": "919-781-1050",
            "fax_number": "919-510-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Parkway Office Ct Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187427",
            "country_code": "US",
            "telephone_number": "919-781-1050",
            "fax_number": "919-510-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES CHAVEZ",
        "first_name": "KARLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "0010-12066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.