Individual provider Active NPI

Amy Stein Drumheller, M.D.

  • Dermatology Physician
  • Durham, NC
National Provider Identifier
1699745588
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2001-00351 Issued in NC
Practice address
4321 Medical Park Drive
Suite Number 102
Durham, NC 27704
Phone
(919) 220-7546
Fax
(919) 220-5805
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2001-00351 NC Primary

Addresses

Primary practice location

4321 Medical Park Drive
Suite Number 102
Durham, NC 27704

Mailing address

4321 Medical Park Dr
Suite Number 102
Durham, NC 27704-2199
Phone (919) 220-7546

Other identifiers 4

IdentifierTypeStateIssuer
2436015OtherNCUNITEDHEALTH CARE
13659OtherNCBCBS OF NORTH CAROLINA
D4833OtherNCMEDCOST
7913659MedicaidNC

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
I20040910000134 NC Practitioner - Dermatology 9335116326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Dermatology of DurhamGroup PAC ID 6800076993, 2 clinicians

Practice addresses (Care Compare)

4321 Medical Park Dr
Suite 102
Durham, NC 27704-2199
Phone (919) 220-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2933
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-00351NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Dermatology of Durham Dermatology CurrentSince Jan 1, 2011 Accepting new patients
Durham Dermatology Dermatology PastSince Aug 17, 2010 Accepting new patients

Locations

4321 Medical Park Dr
Ste 102
Durham, NC 27704
Phone (919) 220-7546

2609 N Duke St
Ste 403
Durham, NC 27704
Phone (919) 220-8300

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1699745588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 MEDICAL PARK DR",
            "address_2": "SUITE NUMBER 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042199",
            "telephone_number": "919-220-7546",
            "fax_number": "919-220-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 MEDICAL PARK DRIVE",
            "address_2": "SUITE NUMBER 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-220-7546",
            "fax_number": "919-220-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMHELLER",
        "first_name": "AMY",
        "middle_name": "STEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2001-00351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE",
            "identifier": "2436015",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "13659",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D4833",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7913659",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.