Individual provider Active NPI

Melissa Rich, MD

  • Gastroenterology Physician
  • Hillsborough, NC
National Provider Identifier
1417970674
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200001263 Issued in NC
Practice address
460 Waterstone Dr
Gi Procedures Unit
Hillsborough, NC 27278-9078
Phone
(919) 595-5960
Fax
(919) 595-5943
NPI assigned
Jul 26, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200001263 NC Primary

Addresses

Primary practice location

460 Waterstone Dr
Gi Procedures Unit
Hillsborough, NC 27278-9078

Mailing address

460 Waterstone Dr
Gi Procedures Unit
Hillsborough, NC 27278-9078
Phone (919) 595-5969

Other identifiers 1

IdentifierTypeStateIssuer
89127N2MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates PA Gastroenterology PastSince Apr 25, 1998 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1417970674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WATERSTONE DR",
            "address_2": "GI PROCEDURES UNIT",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789078",
            "telephone_number": "919-595-5969",
            "fax_number": "919-595-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WATERSTONE DR",
            "address_2": "GI PROCEDURES UNIT",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789078",
            "telephone_number": "919-595-5960",
            "fax_number": "919-595-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127N2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.