Active NPI
Michael P Bolognesi, M.D.
- Orthopaedic Surgery Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Practice address
- 4101 N Roxboro St
Durham, NC 27704-2121 - Phone
- (919) 684-8111
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NC | Primary |
Addresses
Primary practice location
4101 N Roxboro St
Durham, NC 27704-2121
Mailing address
4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891370F | Medicaid | NC |
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
- Orthopedic Surgery
- Education
- Duke University School of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
2351 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
3475 Erwin Rd
Durham, NC 27705-0005
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
5601 Arringdon Park Dr
Morrisville, NC 27560-5676
Phone (919) 684-8111
Hospital & facility affiliations
- Duke Home Health
- Centerwell Home Health
- Duke University Hospital
- Duke Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 53 |
| Knee replacement | 152 |
| Spinal fusion | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-00641 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| University of Utah Orthopedic Consultants | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
5601 Arringdon Park Dr
Ste 300
Morrisville, NC 27560
Phone (919) 660-5066
3480 Wake Forest Rd
Ste 502
Raleigh, NC 27609
Phone (919) 420-5000
3480 Wake Forest Rd
Ste 204
Raleigh, NC 27609
Phone (919) 862-5093
3480 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5075
Interoperability endpoints
- mbolognesi26119@direct.medicine.duke.edu
Organizations & group practices 3
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Physical Therapist
- Wilson, NC
- NPI 1861450884
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1487680609
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raleigh, NC
- NPI 1710917547
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Home Health Agency
- Durham, NC
- NPI 1407898315
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649367384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042121",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042121",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLOGNESI",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891370F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.