Active NPI
Kumar Ilangovan, M.D., MSPH, MMCI
- Pediatrics Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2017-00592
- Practice address
- 10211 Alm St
Suite Suite #1100
Raleigh, NC 27617 - Phone
- (919) 385-1160
- NPI assigned
- Apr 3, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017-00592 | NC | |
| Clinical Informatics Physician | 2083C0008X | 2017-00592 | NC | |
| Pediatrics Physician | 208000000X | 2017-00592 | NC | Primary |
Addresses
Primary practice location
10211 Alm St
Suite Suite #1100
Raleigh, NC 27617
Mailing address
PO Box 193
Apex, NC 27502-0193
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-00592 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-5437
1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355
1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355
10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160
7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650
Interoperability endpoints
- kumar.ilangovan.1@14931.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Internal Medicine
-
- Emergency Medicine Physician
- Durham, NC
- NPI 1780612713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1487827101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "APEX",
"state": "NC",
"postal_code": "275020193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10211 ALM ST",
"address_2": "SUITE SUITE #1100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27617",
"telephone_number": "919-385-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILANGOVAN",
"first_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D., MSPH, MMCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2017-00592",
"primary": false
},
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "NC",
"license": "2017-00592",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2017-00592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.