Individual provider Active NPI

Mukhtar Adem, M.D.

  • Hospitalist Physician
  • Chapel Hill, NC
National Provider Identifier
1457445769
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
200800038 Issued in NC
Practice address
101 Manning Dr
CB#7085
Chapel Hill, NC 27599-7085
Phone
(984) 974-1931
Fax
(984) 974-2216
NPI assigned
Oct 3, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101235701 VA
Hospitalist Physician 208M00000X 200800038 NC Primary

Addresses

Primary practice location

101 Manning Dr
CB#7085
Chapel Hill, NC 27599-7085

Mailing address

101 Manning Dr
CB#7085
Chapel Hill, NC 27599-7085
Phone (984) 974-1931

Other identifiers 1

IdentifierTypeStateIssuer
010051053MedicaidVA

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
I20080208000032 NC Practitioner - HospitalistPractitioner - Internal Medicine 6103714258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Massachusetts Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235701VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hospital, Inc. CurrentSince Nov 5, 2011 Accepting new patients
University of North Carolina at Chapel Hill Internal Medicine CurrentSince Jan 22, 2008 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Manning Dr
#7085
Chapel Hill, NC 27514
Phone (984) 974-1903

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Interoperability endpoints

  • Direct secure messaging: madem31976@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1457445769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "CB#7085",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997085",
            "telephone_number": "984-974-1931",
            "fax_number": "984-974-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "CB#7085",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997085",
            "telephone_number": "984-974-1931",
            "fax_number": "984-974-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEM",
        "first_name": "MUKHTAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235701",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "200800038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010051053",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.