Individual provider Active NPI

Angelo Milazzo Jr., M.D.

  • Pediatric Cardiology Physician
  • Durham, NC
National Provider Identifier
1407919285
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
9701496 Issued in NC
Practice address
4709 Creekstone Dr Ste 300
Durham, NC 27703-0016
Phone
(919) 862-1269
Fax
(919) 862-5355
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 97-01496 NC
Pediatrics Physician 208000000X 97-01496 NC
Pediatric Cardiology Physician 2080P0202X 9701496 NC Primary

Addresses

Primary practice location

4709 Creekstone Dr Ste 300
Durham, NC 27703-0016

Mailing address

4709 Creekstone Dr Ste 300
Durham, NC 27703-0016
Phone (919) 862-1269

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
I20091217000637 NC Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 1557401882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
State University of New York at Stony Brook, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97-01496NCMDPediatrics Physician
9701496NCMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Pediatrics CurrentSince Mar 11, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Mar 11, 2019 Accepting new patients

Locations

540 New Waverly Pl
Ste 101
Cary, NC 27518
Phone (919) 206-8000

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853

10950 Chapel Hill Rd
Morrisville, NC 27560
Phone (919) 327-1630

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: amilazzo26224@direct.medicine.duke.edu

Organizations & group practices 3

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1407919285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 CREEKSTONE DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030016",
            "telephone_number": "919-862-1269",
            "fax_number": "919-862-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 CREEKSTONE DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030016",
            "telephone_number": "919-862-1269",
            "fax_number": "919-862-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAZZO",
        "first_name": "ANGELO",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "97-01496",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "97-01496",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "9701496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.