Individual provider Active NPI

Christian Donohue, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1457400467
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003-00774 Issued in NC
Practice address
2600 Atlantic Ave Ste 200
Raleigh, NC 27604-1502
Phone
(919) 755-2620
Fax
(919) 755-2621
NPI assigned
Jan 9, 2007
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 2003-00774 NC Primary

Addresses

Primary practice location

2600 Atlantic Ave Ste 200
Raleigh, NC 27604-1502

Mailing address

2600 Atlantic Ave Ste 200
Raleigh, NC 27604-1502
Phone (919) 755-2620

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140415001295 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4587896022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-00774NCMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1457400467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ATLANTIC AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041502",
            "telephone_number": "919-755-2620",
            "fax_number": "919-755-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ATLANTIC AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041502",
            "telephone_number": "919-755-2620",
            "fax_number": "919-755-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2003-00774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.