Individual provider Active NPI

Ruth Fulghum Walters, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1497968606
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
200401447 Issued in NC
Practice address
2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914
Phone
(919) 401-1994
Fax
(919) 401-1924
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 200401447 NC Primary

Addresses

Primary practice location

2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914

Mailing address

2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994

Other identifiers 4

IdentifierTypeStateIssuer
9234216OtherAETNA
NCD495AOtherNCMEDICARE
1497968606MedicaidNC
179PMOtherBCNC

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
I20130830000551 NC Practitioner - PathologyPractitioner - Dermatology 2466531603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dermatology Center PAGroup PAC ID 8123006947, 31 clinicians

Practice addresses (Care Compare)

2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
82.92
Promoting interoperability
100
Improvement activities
40
Cost
92.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dermatology Center, PA CurrentSince Jul 1, 2013 Accepting new patients

Locations

110 Preston Executive Dr
Ste 100
Cary, NC 27513
Phone (919) 653-1344

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517
Phone (919) 282-5534

855 East St
Pittsboro, NC 27312
Phone (919) 542-2731

1212 Cedarhurst Dr
Ste 102
Raleigh, NC 27609
Phone (919) 431-9911

Interoperability endpoints

  • Direct secure messaging: rwalters@centralderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1497968606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY",
            "address_2": "SUITE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994",
            "fax_number": "919-401-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY",
            "address_2": "SUITE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994",
            "fax_number": "919-401-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "RUTH",
        "middle_name": "FULGHUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NC",
            "license": "200401447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9234216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCD495A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497968606",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNC",
            "identifier": "179PM",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.