Individual provider Active NPI

Elizabeth Ju, M.D.

  • Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1407117781
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
201601150 Issued in NC
Practice address
7920 Acc Blvd
Suite 100
Raleigh, NC 27617-8743
Phone
(919) 596-9600
Fax
(919) 596-9696
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 201601150 NC Primary

Addresses

Primary practice location

7920 Acc Blvd
Suite 100
Raleigh, NC 27617-8743

Mailing address

7920 Acc Blvd
Suite 100
Raleigh, NC 27617-8743
Phone (919) 596-9600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001556 NC Practitioner - Dermatology 2668768318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Dermatology Associates PLLCGroup PAC ID 8921162942, 4 clinicians

Practice addresses (Care Compare)

7920 Acc Blvd
Suite 100
Raleigh, NC 27617-8744
Phone 9195969600103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of tissue1-10
Removal of skin lesions607
Removal or shaving of skin growth1-10
Skin biopsy218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201601150NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Dermatology Associates, PLLC Dermatology CurrentSince Aug 1, 2016 Accepting new patients

Locations

7920 Acc Blvd
Ste 100
Raleigh, NC 27617
Phone (919) 596-9600

Organizations & group practices 1

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1407117781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178743",
            "telephone_number": "919-596-9600",
            "fax_number": "919-596-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178743",
            "telephone_number": "919-596-9600",
            "fax_number": "919-596-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "201601150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.