Metro Internal Medicine P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9901643 Issued in NC

Legal business name

METRO INTERNAL MEDICINE P.A.

Practice address

3320 Executive Dr
Ste. 222
Raleigh, NC 27609-7445

Phone

(919) 877-1100

Fax

(919) 877-8118

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A Holt, M.D.NPI 1356304588

Title

President

Phone

(919) 877-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJBBAA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth A Holt, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1356304588
  Medicare reassignment NPD Authorized official
• Stacy Drew, PA

  • Physician Assistant
  • Bunn, NC
  • NPI 1639524762
  NPD
• Jeffrey M Rosowski, PA

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1649570060
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1689912792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "STE. 222",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-877-1100",
            "fax_number": "919-877-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "STE. 222",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-877-1100",
            "fax_number": "919-877-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO INTERNAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-877-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9901643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Method Manual Physical Therapy and Wellness LLC
• Esther Bosede Metiko, NP
• Olasunkanmi Metiko, PHYSICIAN ASSISTANT
• Olushola Jones Metiko, MD
• Olivia Metrione, FNP-C
• Metro Treatment of North Carolina L P
• Metropolitan ENT & Allergy Centre
• Tavarris Metters
• Pradeep Mettu, M.D.
• Ahmed Metwally, DMD

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.