Michael Monahan, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

34410 Issued in NC

Practice address

3604 Bush St
2ND Floor
Raleigh, NC 27609-7511

Phone

(919) 876-7807

Fax

(919) 876-8823

NPI assigned

Jan 9, 2006

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmonahan102301@capefearvalley.direct-ci.com

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.

• North Carolina Nephrology PA

  • Nephrology Physician
  • Raleigh, NC
  • NPI 1750835336
  Medicare reassignment NPD
• North Carolina Nephrology PA

  • Nephrology Physician
  • Cary, NC
  • NPI 1811492663
  NPD

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1447238480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 NEW BERN AVE STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102989",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 BUSH ST",
            "address_2": "2ND FLOOR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097511",
            "telephone_number": "919-876-7807",
            "fax_number": "919-876-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2824 Rogers Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275873896",
            "country_code": "US",
            "telephone_number": "919-876-7807",
            "fax_number": "919-876-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "34410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncnephrologyassociates@directaddress.net",
            "affiliation": "N",
            "address_1": "3604 Bush St",
            "address_2": "2nd Floor",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276097511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mona R Gupta, DO Incorporated (Gupta Wellness)
• Thomas Joseph Monaco Jr., MD
• Brianna Jacalyn.- Renee Monaghan, LCSWA
• Molly Katherine Monago
• Kristen Monahan, PA-C
• Thomas Patrick Monahan Jr., DMD
• Thomas William Monahan IV
• Monarch
• Monarch
• Monarch

• Nephrology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.