NPIMap

Organization Active NPI

Raleigh Infectious Diseases Associates PA

  • Infectious Disease Physician
  • Raleigh, NC
National Provider Identifier
1437109139
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
39179 Issued in NC
Legal business name
RALEIGH INFECTIOUS DISEASES ASSOCIATES PA
Practice address
2304 Wesvill Court
Suite 240
Raleigh, NC 27607
Phone
(919) 571-1567
Fax
(919) 782-1472
NPI assigned
May 11, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Mr. Christopher W Ingram, MD
Title
MD/Partner
Phone
(919) 571-1567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 39179 NC Primary

Addresses

Primary practice location

2304 Wesvill Court
Suite 240
Raleigh, NC 27607

Mailing address

2304 Wesvill CT
Suite 240
Raleigh, NC 27607-2973
Phone (919) 571-1567

Other identifiers 2

IdentifierTypeStateIssuer
0239EOtherNCBCBS
5922139MedicaidNC

National Provider Directory

National Provider Directory

Locations

2304 Wesvill Ct
Ste 240
Raleigh, NC 27607
Phone (919) 571-1567

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1437109139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 WESVILL CT",
            "address_2": "SUITE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072973",
            "telephone_number": "919-571-1567",
            "fax_number": "919-782-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 WESVILL COURT",
            "address_2": "SUITE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-571-1567",
            "fax_number": "919-782-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH INFECTIOUS DISEASES ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "919-571-1567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "39179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0239E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922139",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.