Active NPI
Douglas Michael Trate, M.D.
- Gastroenterology Physician
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 96000754
- Practice address
- 870 State Farm Rd
Suite 102
Boone, NC 28607-4861 - Phone
- (828) 264-0029
- Fax
- (828) 265-3305
- NPI assigned
- Jan 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 96000754 | NC | Primary |
Addresses
Primary practice location
870 State Farm Rd
Suite 102
Boone, NC 28607-4861
Mailing address
870 State Farm Rd
Suite 102
Boone, NC 28607-4861
Phone (828) 264-0029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901472 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Rutgers New Jersey Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
870 State Farm Rd
Suite 102
Boone, NC 28607-4862
Phone (828) 264-0029
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 146 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 158 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96000754 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Medical Associates, Inc. | Gastroenterology | Current | Accepting new patients |
Locations
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
870 State Farm Rd
Ste 102
Boone, NC 28607
Phone (828) 264-0029
Interoperability endpoints
- dtrate222266@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.
-
dba Appalachian Gastroenterology
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Gastroenterology
-
- Gastroenterology Physician
- Boone, NC
- NPI 1205814084
-
- Endoscopy Clinic/Center
- Boone, NC
- NPI 1245354356
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
dba Appalachian Regional Healthcare System
- Critical Access Hospital
- Linville, NC
- NPI 1225088255
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477531242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 STATE FARM RD",
"address_2": "SUITE 102",
"city": "BOONE",
"state": "NC",
"postal_code": "286074861",
"telephone_number": "828-264-0029",
"fax_number": "828-265-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 STATE FARM RD",
"address_2": "SUITE 102",
"city": "BOONE",
"state": "NC",
"postal_code": "286074861",
"telephone_number": "828-264-0029",
"fax_number": "828-265-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRATE",
"first_name": "DOUGLAS",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "96000754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901472",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.