Active NPI
Deepakta Kaur
- Family Medicine Physician
- Clinton, NC
National Provider Identifier
1538620232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021-03159
- Practice address
- 607 Beaman St
Clinton, NC 28328-2603 - Phone
- (910) 596-5421
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-03159 | NC | Primary |
Addresses
Primary practice location
607 Beaman St
Clinton, NC 28328-2603
Mailing address
PO Box 260
Clinton, NC 28329-0260
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deepakta-kaur@sampsonrps.e-mdsdirect.com | Sampson Regional Professional Services LLC. |
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Family Medicine | Current | Accepting new patients |
| Unc Physicians Network LLC | Family Medicine | Current | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
410 Canterbury Rd
Smithfield, NC 27577
Phone (919) 934-5149
Interoperability endpoints
- dkaur647114@direct.unc.nchie.net
- deepakta-kaur@sampsonrps.e-mdsdirect.com
Organizations & group practices 2
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.
-
dba UNC Family Medicine at Pittsboro
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1538620232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260",
"city": "CLINTON",
"state": "NC",
"postal_code": "283290260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282603",
"telephone_number": "910-596-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "DEEPAKTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2021-03159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deepakta-kaur@sampsonrps.e-mdsdirect.com",
"affiliation": "Y",
"affiliationName": "Sampson Regional Professional Services LLC.",
"address_1": "607 Beaman St",
"city": "Clinton",
"state": "NC",
"country_code": "US",
"postal_code": "283282603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.