Individual provider Active NPI

Thomas H Wroth, MD

  • Family Medicine Physician
  • Burlington, NC
National Provider Identifier
1609941343
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0098-00739 Issued in NC
Practice address
221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone
(336) 570-3739
Fax
(919) 933-9201
NPI assigned
Nov 21, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 0098-00739 NC Primary

Addresses

Primary practice location

221 N Graham Hopedale Rd
Burlington, NC 27217-2971

Mailing address

143 W Franklin St
Chapel Hill, NC 27516-2539
Phone (919) 966-8596

Other identifiers 1

IdentifierTypeStateIssuer
8911355MedicaidNC

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
I20040217000502 NC Practitioner - Family Practice 9537054705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Columbia University College of Physicians and Surgeons, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Health Services IncGroup PAC ID 3476462102, 38 clinicians

Practice addresses (Care Compare)

221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 570-3739

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0098-00739NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. Current Accepting new patients
Piedmont Health Services, Inc. CurrentSince Jan 6, 2021 Accepting new patients
Piedmont Health Services, Inc. CurrentSince Jan 6, 2021 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine Past Accepting new patients

Locations

221 N Graham Hopedale Rd
Burlington, NC 27217
Phone (336) 532-0414

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1609941343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-966-8596",
            "fax_number": "919-843-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-570-3739",
            "fax_number": "919-933-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROTH",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0098-00739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.