Dean Dewayne Blakeley, M.D.
Individual provider Active NPI Internal Medicine Physician · Zebulon, NC
NPI 1376619783 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1376619783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35588 (NC)
- Practice address
- 323 Hospital Rd
Zebulon, NC 27597-0247 - Phone
- (919) 269-9111
- Fax
- (919) 269-4747
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3000 New Bern Ave
Raleigh, NC 27610-1295
Phone (919) 350-8000
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Rex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071002000495 | NC | Practitioner - Internal Medicine | 7719072032 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35588 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean D Blakeley MD PA | Internal Medicine | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of Durham County, PLLC | Internal Medicine | Past | Accepting new patients |
| P. K. George MD PA | Internal Medicine | Past |
Accepting new patients |
Locations
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
323 Hospital Rd
Zebulon, NC 27597
Phone (919) 269-9111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35588 | NC | Yes |
Addresses
Primary practice location
323 Hospital Rd
Zebulon, NC 27597-0247
Mailing address
323 Hospital Rd
Zebulon, NC 27597-0247
Phone (919) 269-9111
Other providers in Zebulon, NC
- Melissa Miller Bell
- Rebecca Berg
- Beyoutiful Inc
- Bio-Medical Applications of North Carolina, Inc.
- Michael James Bires
- Chinella Bolden
- Kimberly Bowser
- Rebecca Laurie Brantley
- Brendex Renea Lee Meeks
- Akia Mone'T Brown-Lesene
All providers in Zebulon, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.