NPIMap

Individual provider Active NPI

Alounthith Phichith, MD

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1568688000
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007-00673 Issued in NC
Practice address
3916 Ben Franklin Blvd
Durham, NC 27704-2383
Phone
(919) 956-9300
NPI assigned
Apr 17, 2007
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-00673 NC Primary

Addresses

Primary practice location

3916 Ben Franklin Blvd
Durham, NC 27704-2383

Mailing address

3916 Ben Franklin Blvd
Durham, NC 27704-2383
Phone (919) 956-9300

Other identifiers 1

IdentifierTypeStateIssuer
1568688000MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000344 NC Practitioner - Internal Medicine 0840382164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3916 Ben Franklin Blvd
Durham, NC 27704-2383
Phone (919) 956-9301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00673NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Specialty Hospital LLC CurrentSince Oct 8, 2013 Accepting new patients
North Carolina Specialty Hospital LLC CurrentSince Oct 8, 2013 Accepting new patients
North Carolina Specialty Hospital LLC Internal Medicine Past Accepting new patients

Locations

3916 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 956-9300

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 7

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1568688000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042383",
            "telephone_number": "919-956-9300",
            "fax_number": "919-287-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042383",
            "telephone_number": "919-956-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHICHITH",
        "first_name": "ALOUNTHITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-00673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568688000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.