Individual provider Active NPI

Douglas Michael Trate, M.D.

  • Gastroenterology Physician
  • Boone, NC
National Provider Identifier
1477531242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
96000754 Issued in NC
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8901472MedicaidNC

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
I20100701000544 NC Practitioner - Gastroenterology 2567464639 Reassigns benefits to 1 organization

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
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

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

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96000754NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Gastroenterology CurrentSince Apr 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.