Individual provider Active NPI

Colm J O'Loughlin, MD

  • Gastroenterology Physician
  • Raleigh, NC
National Provider Identifier
1689625139
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2007-00290 Issued in NC
Practice address
2417 Atrium Dr
Suite 150
Raleigh, NC 27607
Phone
(919) 791-2040
Fax
(919) 791-2041
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2007-00290 NC Primary

Addresses

Primary practice location

2417 Atrium Dr
Suite 150
Raleigh, NC 27607

Mailing address

2417 Atrium Dr
Suite 150
Raleigh, NC 27607-6673
Phone (919) 791-2040

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
I20070718000251 NC Practitioner - Gastroenterology 1759482953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

4225 Macon Pond Rd
Suite 200
Raleigh, NC 27607-6320
Phone (919) 791-2040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00290NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Raleigh Medical Group, PA Gastroenterology CurrentSince Jul 29, 2017 Accepting new patients
Rex Hospital Inc Past Accepting new patients
Digestive Healthcare, PA Gastroenterology PastSince Sep 22, 2010 Accepting new patients

Locations

400 Health Park Dr
#100
Garner, NC 27529
Phone (984) 215-5030

850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093

781 Avent Ferry Rd
Ste 204
Holly Springs, NC 27540
Phone (919) 467-3203

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

8300 Health Park
Ste 327
Raleigh, NC 27615
Phone (919) 791-2041

2417 Atrium Dr
Ste 150
Raleigh, NC 27607
Phone (919) 791-2075

4225 Macon Pond Rd
Ste 200
Raleigh, NC 27607
Phone (919) 791-2041

Interoperability endpoints

  • Direct secure messaging: coloughlin11690@direct.unc.nchie.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1689625139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR",
            "address_2": "SUITE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076673",
            "telephone_number": "919-791-2040",
            "fax_number": "919-791-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR",
            "address_2": "SUITE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-791-2040",
            "fax_number": "919-791-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LOUGHLIN",
        "first_name": "COLM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2007-00290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.