NPIMap

Organization Active NPI

Carolina Gastroenterology PA

  • Gastroenterology Physician
  • Cary, NC
National Provider Identifier
1396886909
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CAROLINA GASTROENTEROLOGY PA
Practice address
570 New Waverly PL
Suite 140
Cary, NC 27518
Phone
(919) 854-2500
Fax
(919) 854-2510
NPI assigned
Feb 8, 2007
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Vinod Chita Vallabh, MDNPI 1174518880
Title
President
Phone
(919) 854-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X NC Primary

Addresses

Primary practice location

570 New Waverly PL
Suite 140
Cary, NC 27518

Mailing address

PO Box 2016
Cary, NC 27512-2016
Phone (919) 854-2500

Other identifiers 4

IdentifierTypeStateIssuer
017NUOtherNCBLUE CROSS
85119OtherNCBCBS FEDRAL
85119OtherNCBCBS STATE
7985119MedicaidNC

National Provider Directory

National Provider Directory

Locations

570 New Waverly Pl
Ste 140
Cary, NC 27518
Phone (919) 854-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1396886909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2016",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275122016",
            "telephone_number": "919-854-2500",
            "fax_number": "919-854-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL",
            "address_2": "SUITE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-854-2500",
            "fax_number": "919-854-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "VALLABH",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "CHITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-854-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "017NU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDRAL",
            "identifier": "85119",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE",
            "identifier": "85119",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7985119",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.