Active NPI
Regina Dodis, D. O.
- Endocrinology, Diabetes & Metabolism Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 044491
- Practice address
- 1006 WH Smith Blvd
Greenville, NC 27834-5194 - Phone
- (252) 413-6683
- Fax
- (252) 413-6603
- NPI assigned
- Jul 16, 2006
- Last updated
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 044491 | CT | Primary |
Addresses
Primary practice location
1006 WH Smith Blvd
Greenville, NC 27834-5194
Mailing address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001444918 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1006 WH Smith Blvd
Greenville, NC 27834-5194
Phone (252) 413-6683
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians East, PA | Current | Accepting new patients | |
| Physicians East PA | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Physicians East PA | Past | Accepting new patients | |
| Norwalk Medical Group, PC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Locations
1006 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 413-6683
1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641
Interoperability endpoints
- reginadodis@pepa.medalliesdirect.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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1598761967
Endocrinology, Diabetes & Metabolism
-
dba Greenville Women's Care
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1205884939
-
- Multi-Specialty Clinic/Center
- Farmville, NC
- NPI 1033115407
-
- Internal Medicine Physician
- Norwalk, CT
- NPI 1700878733
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ECU Health Bertie Hospital
- Critical Access Hospital
- Windsor, NC
- NPI 1013999705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1649297722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101",
"fax_number": "252-752-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 WH SMITH BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345194",
"telephone_number": "252-413-6683",
"fax_number": "252-413-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODIS",
"first_name": "REGINA",
"name_prefix": "Dr.",
"credential": "D. O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CT",
"license": "044491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001444918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.