Individual provider Active NPI

Alexandria Danyluk, MEDICAL STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Gainesville, FL
National Provider Identifier
1417658311
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RTL24-0359 Issued in NC
Practice address
530 Foster St
Durham, NC 27701-2107
Phone
(954) 646-5940
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RTL24-0359 NC Primary

Addresses

Primary practice location

530 Foster St
Durham, NC 27701-2107

Mailing address

530 Foster St
Durham, NC 27701-2107
Phone (954) 646-5940

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
I20241119000413 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5395270011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1417658311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FOSTER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012107",
            "telephone_number": "954-646-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FOSTER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012107",
            "telephone_number": "954-646-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANYLUK",
        "first_name": "ALEXANDRIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "RTL24-0359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.