NPIMap

Individual provider Active NPI

Kendra Joy Modell Parrish, DO

  • Surgery Physician
  • Durham, NC
National Provider Identifier
1629259254
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2276 Issued in ME
Practice address
Duke Breast Clinic 2-2
Durham, NC 27710-2986
Phone
(919) 681-6604
Fax
(919) 470-3209
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2276 ME Primary

Addresses

Primary practice location

Duke Breast Clinic 2-2
Durham, NC 27710-2986

Mailing address

PO Box 3513
Durham, NC 27702-3513
Phone (910) 272-3048

Other identifiers 2

IdentifierTypeStateIssuer
1629259254OtherMEANTHEM
1790764512-014MedicaidME

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
I20150324001775 NC Practitioner - General Surgery 8325296080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

20 Duke Medicine Cir
Durham, NC 27710-2000
Phone (919) 684-8111

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy41
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2276MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 20, 2015 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 20, 2015 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients

Locations

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

120 E Carver St
Durham, NC 27704
Phone (919) 470-1000

1200 Pine Run Dr
Lumberton, NC 28358
Phone (910) 671-5048

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

2934 N Elm St
Ste E
Lumberton, NC 28358
Phone (910) 739-0022

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: kblount213313@direct.unc.nchie.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
  • Direct secure messaging: kparrish521565@direct.medicine.duke.edu

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 8

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1629259254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3513",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277023513",
            "telephone_number": "910-272-3048",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUKE BREAST CLINIC 2-2",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277102986",
            "telephone_number": "919-681-6604",
            "fax_number": "919-470-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODELL PARRISH",
        "first_name": "KENDRA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1629259254",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790764512-014",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.