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Organization Active NPI

Duke University Health System, Inc.

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1376574798
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DUKE UNIVERSITY HEALTH SYSTEM, INC.
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 470-8490
NPI assigned
Jul 5, 2006
Organization subpart
Yes
Parent organization
DUKE UNIVERSITY HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
John Stuart Smith
Title
VP, Finance
Phone
(919) 613-8995

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other identifiers 2

IdentifierTypeStateIssuer
790145EMedicaidNC
0145EOtherNCBCBS GROUP NUMBER

Other names 1

  • Durham Regional Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031126000274 NC Part B Supplier - Clinic/Group Practice 2567372345 Receives reassigned benefits from 1,477 practitioners
3 other NPIs on this enrollment
Practice locations: Cary, NC; Wake Forest, NC; Raleigh, NC; Morrisville, NC; Durham, NC
O20220302000355 VA Part B Supplier - Clinic/Group Practice 2567372345 Receives reassigned benefits from 2 practitioners
Practice locations: Norfolk, VA

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Raleigh OBGYN Centre

Locations

2608 Erwin Rd
Ste 300
Durham, NC 27705
Phone (919) 385-3232

2424 Erwin Rd
Ste 201
Durham, NC 27705
Phone (919) 668-5055

46 Duke Medical Cir
Durham, NC 27710

60 Duke Medical Cir
Durham, NC 27710

Duke Hospital Erwin Rd
Durham, NC 27710

4104 N Roxboro St
Durham, NC 27704

65 Duke Medical Cir
Durham, NC 27710

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

62 Duke Medical Cir
Durham, NC 27710

401 Irving Pkwy
Holly Springs, NC 27540
Phone (919) 385-3800

162 Legacy Oaks Dr
#2102
Knightdale, NC 27545
Phone (919) 373-1799

1352 Mebane Oaks Rd
Rm 133
Mebane, NC 27302

5601 Arringdon Park Dr
Ste 130
Morrisville, NC 27560
Phone (919) 385-2890

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Peak Rehabilitation HospitalApex, NC, CCN 343028 Hospital 5% Or Greater Direct Ownership Interest (33.3%) Feb 25, 2025
Duke Home HealthDurham, NC, CCN 347136 Home health agency 5% Or Greater Direct Ownership Interest Aug 1, 2006
Duke HospiceDurham, NC, CCN 341507 Hospice 5% Or Greater Direct Ownership Interest Aug 1, 2006

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners 2,145

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,145

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1376574798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-470-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUKE UNIVERSITY HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "919-613-8995"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790145E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0145E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durham Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.