NPIMap

Individual provider Active NPI

Dhruv B Vyas, M.D.

  • Internal Medicine Physician
  • Eden, NC
National Provider Identifier
1437257706
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9600764 Issued in NC
Practice address
405 Thompson St
Eden, NC 27288-5045
Phone
(336) 627-4896
Fax
(336) 627-0139
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 9600764 NC Primary

Addresses

Primary practice location

405 Thompson St
Eden, NC 27288-5045

Mailing address

405 Thompson St
Eden, NC 27288-5045
Phone (336) 627-4896

Other identifiers 2

IdentifierTypeStateIssuer
85137OtherNCBCBS NC INDIVIDUAL #
8985137MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000496 NC Practitioner - Internal Medicine 5991884751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eden Internal Medicine PLLCGroup PAC ID 4183703945, 6 clinicians

Practice addresses (Care Compare)

405 Thompson St
Eden, NC 27288-5045
Phone 3366274896318

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Internal Medicine PLLC Internal Medicine CurrentSince Jul 1, 1996 Accepting new patients

Locations

405 Thompson St
Eden, NC 27288
Phone (336) 627-4896

Interoperability endpoints

  • Direct secure messaging: dhruvvyas@eimpllc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437257706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 THOMPSON ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885045",
            "telephone_number": "336-627-4896",
            "fax_number": "336-627-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 THOMPSON ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885045",
            "telephone_number": "336-627-4896",
            "fax_number": "336-627-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "DHRUV",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC INDIVIDUAL #",
            "identifier": "85137",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985137",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.