Individual provider Active NPI

John Frank Conforti, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Winston Salem, NC
National Provider Identifier
1639153489
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
96 00493 Issued in NC
Practice address
3001 Lyndhurst Ave
Winston Salem, NC 27103-4007
Phone
(336) 765-0383
Fax
(336) 760-6918
NPI assigned
Dec 5, 2005
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 96 00493 NC Primary
Pulmonary Disease Physician 207RP1001X 96 00493 NC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 9600493 NC

Addresses

Primary practice location

3001 Lyndhurst Ave
Winston Salem, NC 27103-4007

Mailing address

3001 Lyndhurst Ave
Winston Salem, NC 27103-4007
Phone (336) 765-0383

Other identifiers 8

IdentifierTypeStateIssuer
1810789000MedicaidWV
5298321OtherNCAETNA
5885931MedicaidVA
8923901MedicaidNC
C0869OtherNCMEDCOST
802063OtherNCPARTNERS
23901OtherNCBCBS
Q0049IMedicaidSC

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
I20031217001031 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729985676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Nova Southeastern College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

186 Medical Park Loop
Suite 503
Sylva, NC 28779-4110
Phone (828) 586-7994

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96 00493NCMDPulmonary Disease Physician
9600493NCMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospitals, Inc. Pulmonary Disease Current Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Jan 19, 2018 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Jan 19, 2019 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jan 19, 2019 Accepting new patients
DLP Western Carolina Physician Practices LLC Pulmonary Disease CurrentSince Aug 9, 2019 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jan 19, 2018 Accepting new patients
Spectrum Medical Group PA Critical Care Medicine CurrentSince Mar 12, 2012 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 9, 2019 Accepting new patients
University Internal Medicine Assoc LLP Past Accepting new patients
Haywood Women's Medical Center, PA Past Accepting new patients

Locations

30 Choctaw St
Ste A
Asheville, NC 28801
Phone (828) 255-7733

428 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-5253

5 Vanderbilt Park Dr
Asheville, NC 28803

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

45 Plateau St
Bryson City, NC 28713
Phone (828) 488-2155

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

186 Medical Park Loop
Ste 503
Sylva, NC 28779
Phone (828) 331-8161

68 Hospital Rd
Ste 201
Sylva, NC 28779
Phone (828) 342-8450

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

3001 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 765-0383

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: johnconforti@scspec.allscriptsdirect.net

Organizations & group practices 10

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 3

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1639153489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LYNDHURST AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034007",
            "telephone_number": "336-765-0383",
            "fax_number": "336-760-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LYNDHURST AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034007",
            "telephone_number": "336-765-0383",
            "fax_number": "336-760-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONFORTI",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "96 00493",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "96 00493",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "9600493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810789000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5298321",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5885931",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923901",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C0869",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "802063",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23901",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0049I",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.