NPIMap

Individual provider Active NPI

Robert Theodore Tisherman, MD

  • Orthopaedic Surgery Physician
  • Cary, NC
National Provider Identifier
1417477423
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2023-01074 Issued in NC
Practice address
100 Duke Health Cary PL Ste 120
Cary, NC 27519-6760
Phone
(919) 858-1203
Fax
(919) 385-9500
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2023-01074 NC
Orthopaedic Surgery Physician 207X00000X 2023-01074 NC Primary

Addresses

Primary practice location

100 Duke Health Cary PL Ste 120
Cary, NC 27519-6760

Mailing address

3475 Erwin Rd
Durham, NC 27705-0005
Phone (919) 660-1949

Other practice location 1

3475 Erwin Rd
Durham, NC 27705-0005
Phone (919) 660-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220519000518 PA Practitioner - Orthopedic Surgery 0446529036 Reassigns benefits to 1 organization
I20241104002246 NC Practitioner - Orthopedic Surgery 0446529036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

100 Duke Health Cary PL
Suite 120
Cary, NC 27519-6760
Phone (919) 385-8120

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-01074NCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Sep 3, 2024 Accepting new patients
University of Pittsburgh Physicians Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 3, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2022 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 3, 2024 Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 120
Cary, NC 27519
Phone (919) 385-8120

3609 Southwest Durham Dr
Durham, NC 27707
Phone (919) 471-9622

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

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

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

Interoperability endpoints

  • Direct secure messaging: rtisherman548186@direct.medicine.duke.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1417477423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-660-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DUKE HEALTH CARY PL STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196760",
            "telephone_number": "919-858-1203",
            "fax_number": "919-385-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3475 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277050005",
            "country_code": "US",
            "telephone_number": "919-660-1949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISHERMAN",
        "first_name": "ROBERT",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "2023-01074",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2023-01074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.