Individual provider Active NPI

Christopher M Allen, MD

  • Emergency Medicine Physician
  • Durham, NC
National Provider Identifier
1477812170
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A180202 Issued in CA
Practice address
40 Duke Medicine Cir # O584
Durham, NC 27710-0140
Phone
(919) 668-0035
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2021-00892 NC
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 2021-00892 NC
Emergency Medicine Physician 207P00000X A180202 CA Primary
Emergency Medicine Physician 207P00000X 2019009735 MO

Addresses

Primary practice location

40 Duke Medicine Cir # O584
Durham, NC 27710-0140

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4855

Other practice location 1

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5326

Other identifiers 3

IdentifierTypeStateIssuer
2019009735OtherMOMO STATE LICENSE
2021-00892OtherNCNC STATE LICENSE
2500053458OtherMOMO BNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220803003544 CA Practitioner - Emergency Medicine 2264763515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medamerica Physician Solutions PCGroup PAC ID 8729221809, 28 clinicians
Cep America - Auc PCGroup PAC ID 9537481692, 26 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291

16 E Fern Ave
Suite B
Redlands, CA 92373-4000
Phone (909) 435-4852

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

2540 E St
Concord, CA 94520-1906
Phone (929) 682-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue90
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180202CAMDEmergency Medicine Physician
2019009735MOMDEmergency Medicine Physician
2021-00892NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - Auc PC CurrentSince Oct 1, 2022 Accepting new patients
Cep America - Auc PC Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Dive Well Medical Services Current Accepting new patients
Cep America - Auc PC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Medamerica Physician Solutions PC Emergency Medicine CurrentSince Aug 19, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Brockton Podiatry Group a Prof Corp PastSince Feb 9, 2009 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

26732 Crown Valley Pkwy
Ste 585
Mission Viejo, CA 92691
Phone (949) 645-3333

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

5401 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 275-8210

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

240 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 280-0800

Interoperability endpoints

  • Direct secure messaging: christopher.allen.1@20515.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1477812170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR # O584",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100140",
            "telephone_number": "919-668-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11133 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366163",
            "country_code": "US",
            "telephone_number": "314-653-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2021-00892",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "2021-00892",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A180202",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2019009735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO STATE LICENSE",
            "identifier": "2019009735",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "2021-00892",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BNDD",
            "identifier": "2500053458",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.