Individual provider Active NPI

Roberts H.a. Smith, MD

  • Emergency Medicine Physician
  • Durham, NC
National Provider Identifier
1679536064
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9400357 Issued in NC
Practice address
1821 Hillandale Rd
Durham, NC 27705-2659
Phone
(919) 383-4355
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9400357 NC
Emergency Medicine Physician 207P00000X 9400357 NC Primary

Addresses

Primary practice location

1821 Hillandale Rd
Durham, NC 27705-2659

Mailing address

PO Box 30727
Charlotte, NC 28230-0727
Phone (843) 237-3378

Other practice location 1

2511 Old Cornwallis Rd Ste 200
Durham, NC 27713-1869
Phone (919) 932-5700

Other identifiers 3

IdentifierTypeStateIssuer
8977549MedicaidNC
930113447OtherNCRAILROAD
77549OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000288 NC Practitioner - Internal MedicinePractitioner - Emergency Medicine 7810909249 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9400357NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North State Medical Center PA Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Duke University Affliated Physicians, Inc CurrentSince Jun 20, 2006 Accepting new patients
Duke University Affiliated Physicians, Inc. Emergency Medicine CurrentSince Jun 20, 2006 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Neuse River Emergency Physicians Emergency Medicine Past Accepting new patients
Person Emergency Physicans PA Emergency Medicine Past Accepting new patients

Locations

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

609 Professional Dr
Roxboro, NC 27573
Phone (336) 599-9257

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1679536064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30727",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300727",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052659",
            "telephone_number": "919-383-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 Old Cornwallis Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277131869",
            "country_code": "US",
            "telephone_number": "919-932-5700",
            "fax_number": "919-933-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERTS",
        "middle_name": "H.A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400357",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9400357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977549",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930113447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77549",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.