NPIMap

Organization Active NPI

Raleigh Children & Adolescents Medicine, PC

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1437187010
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RALEIGH CHILDREN & ADOLESCENTS MEDICINE, PC
Practice address
3100 Duraleigh Rd
Suite 300
Raleigh, NC 27612-8106
Phone
(919) 781-7490
Fax
(919) 783-0903
NPI assigned
Jun 30, 2006
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Thomas John Sena, MDNPI 1104858570
Title
Vice President
Phone
(919) 781-7490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3100 Duraleigh Rd
Suite 300
Raleigh, NC 27612-8106

Mailing address

3100 Duraleigh Rd
Suite 300
Raleigh, NC 27612-8106
Phone (919) 781-7490

Other identifiers 2

IdentifierTypeStateIssuer
7901542OtherNCBCBS
7901542MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131106000921 NC Part B Supplier - Clinic/Group Practice 5991930513 Receives reassigned benefits from 9 practitioners
Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0240511Raleigh Children & Adolescents Medicine Duraleigh3100 Duraleigh Road, Raleigh, NC 27612ComplianceJul 1, 2027

National Provider Directory

National Provider Directory

Locations

10208 Cerny St
Ste 100
Raleigh, NC 27617
Phone (919) 781-7490

3100 Duraleigh Rd
Ste 300
Raleigh, NC 27612
Phone (919) 781-7490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDECAA

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1437187010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD",
            "address_2": "SUITE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "919-781-7490",
            "fax_number": "919-783-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD",
            "address_2": "SUITE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "919-781-7490",
            "fax_number": "919-783-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH CHILDREN & ADOLESCENTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "SENA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-781-7490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7901542",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901542",
            "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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.