NPIMap

Individual provider Active NPI

Richard Joseph Pacca, M.D.

  • Cardiovascular Disease Physician
  • Oxford, NC
National Provider Identifier
1619189057
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2010-00526 Issued in NC
Practice address
103 Professional Park Ste C
Oxford, NC 27565-2581
Phone
(919) 690-8853
Fax
(919) 690-8866
NPI assigned
May 6, 2007
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 230785 MA
Cardiovascular Disease Physician 207RC0000X 2010-00526 NC Primary
Nuclear Cardiology Physician 207UN0901X 230785 MA

Addresses

Primary practice location

103 Professional Park Ste C
Oxford, NC 27565-2581

Mailing address

103 Professional Park Ste C
Oxford, NC 27565-2581
Phone (919) 690-8853

Other identifiers 1

IdentifierTypeStateIssuer
2010-00526OtherNCNC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richardpacca@gvhs.allscriptsdirect.net Direct

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
I20110119000946 NC Practitioner - Cardiovascular Disease (Cardiology) 9032398391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Miami, LM Miller School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health IncGroup PAC ID 0840341822, 9 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507

102 Professional Park
Suite C
Oxford, NC 27565-2554
Phone (919) 692-0003

103 Professional Park
Suite C
Oxford, NC 27565-2581
Phone (919) 690-8853

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.29 of 100Reported as individual
Quality
90.7
Promoting interoperability
99
Improvement activities
40
Cost
83.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230785MAMDCardiovascular Disease Physician
2010-00526NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health Inc Current Accepting new patients
Granville Health Inc. Cardiovascular Disease CurrentSince Jul 26, 2010 Accepting new patients
Granville Health Inc. CurrentSince Jul 26, 2010 Accepting new patients
Granville Health Inc Past Accepting new patients

Locations

103 Professional Park
Ste C
Oxford, NC 27565
Phone (919) 690-3020

Interoperability endpoints

  • Direct secure messaging: rpacca78089@direct.unc.nchie.net

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.

Hospital & facility affiliations 9

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": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1619189057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PARK STE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652581",
            "telephone_number": "919-690-8853",
            "fax_number": "919-690-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PARK STE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652581",
            "telephone_number": "919-690-8853",
            "fax_number": "919-690-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACCA",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "230785",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2010-00526",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MA",
            "license": "230785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2010-00526",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardpacca@gvhs.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "103 Professional Park Ste C",
            "city": "Oxford",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275652581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.