NPIMap

Individual provider Active NPI

Karen Wierwille Corvin, MD

  • Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1639102494
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
9601274 Issued in NC
Practice address
11001 Durant Rd Ste 100
Raleigh, NC 27614
Phone
(919) 781-2500
Fax
(919) 781-9247
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 9601274 NC Primary

Addresses

Primary practice location

11001 Durant Rd Ste 100
Raleigh, NC 27614

Mailing address

11001 Durant Rd
100
Raleigh, NC 27614-8390
Phone (919) 781-2500

Other practice location 1

3200 Blue Ridge Rd Ste 118
Raleigh, NC 27612-8087
Phone (919) 782-9005

Other identifiers 1

IdentifierTypeStateIssuer
8924413MedicaidNC

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
I20130607000327 NC Practitioner - Obstetrics/Gynecology 3577536044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1992
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)

11001 Durant Rd
Raleigh, NC 27614-9482
Phone (919) 684-8111

1200 Navaho Dr
Raleigh, NC 27609-7443
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

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

3200 Blue Ridge Rd
Ste 118
Raleigh, NC 27612
Phone (919) 571-4399

11001 Durant Rd
Ste 100
Raleigh, NC 27614
Phone (919) 781-2500

Interoperability endpoints

  • Direct secure messaging: karen.corvin.1@16649.direct.athenahealth.com
  • Direct secure messaging: kcorvin410645@direct.medicine.duke.edu

Organizations & group practices 1

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 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1639102494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 DURANT RD",
            "address_2": "100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148390",
            "telephone_number": "919-781-2500",
            "fax_number": "919-781-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 DURANT RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-781-2500",
            "fax_number": "919-781-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Blue Ridge Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276128087",
            "country_code": "US",
            "telephone_number": "919-782-9005",
            "fax_number": "919-783-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORVIN",
        "first_name": "KAREN",
        "middle_name": "WIERWILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "9601274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8924413",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.