NPIMap

Individual provider Active NPI

Asiyah Zahra Mikell

  • Family Medicine Physician
  • Durham, NC
National Provider Identifier
1588018550
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218449 Issued in NC
Practice address
516 Tall Oaks Dr
Durham, NC 27713-9358
Phone
(919) 597-0443
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218449 NC Primary

Addresses

Primary practice location

516 Tall Oaks Dr
Durham, NC 27713-9358

Mailing address

516 Tall Oaks Dr
Durham, NC 27713-9358
Phone (919) 597-0443

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
I20190813001913 NC Practitioner - Family Practice 4284961301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1565 Orchard Villas Ave
Apex, NC 27502-4321
Phone (919) 367-9355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218449NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Private Diagnostic Clinic, PLLC Family Medicine PastSince Aug 5, 2019 Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

2503 E Lyon Station Rd
Creedmoor, NC 27522
Phone (919) 528-1535

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

65 Tw Alexander Dr
Unit 110566
Durham, NC 27709

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 130
Holly Springs, NC 27540
Phone (919) 385-5060

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

Organizations & group practices 5

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 11

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1588018550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 TALL OAKS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139358",
            "telephone_number": "919-597-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 TALL OAKS DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139358",
            "telephone_number": "919-597-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "ASIYAH",
        "middle_name": "ZAHRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "218449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.