Amir M Darwish, M.D.
Individual provider Active NPI Internal Medicine Physician · Durham, NC
NPI 1699767665 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1699767665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9500413 (NC)
- Practice address
- 3916 Ben Franklin Blvd
Durham, NC 27704-2383 - Phone
- (919) 956-9300
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051008000085 | NC | Practitioner - Internal Medicine | 0244255206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500413 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Specialty Hospital - Durham Inc. | Current |
Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Hamlet Hma Physician Management, LLC | Internal Medicine | Past | Accepting new patients |
| MCPC-2, LLC | Internal Medicine | Past |
Accepting new patients |
| Sandhills Internal Medicine Clinic, PA | Internal Medicine | Past |
Accepting new patients |
| Hamlet Hma Inc | Past | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9500413 | NC | Yes |
Addresses
Primary practice location
3916 Ben Franklin Blvd
Durham, NC 27704-2383
Mailing address
PO Box 1005
Morrisville, NC 27560-1005
Phone (910) 995-2651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2213686F | Other | NC | INDIVIDUAL MEDICARE PTAN |
| 019EJ | Other | NC | NC BCBS GROUP NUMBER |
| 8927067 | Medicaid | NC | |
| 27067 | Other | NC | BCBS NC INDIV |
| N00414 | Medicaid | SC | |
| 1634153 | Other | NC | UHC |
| 110198077 | Other | NC | RAILROAD INDV NUMBER |
| 197707 | Other | NC | MEDCOST |
| 7117082 | Other | NC | AETNA |
Other providers in Durham, NC
- Donna Darragh
- Darren Peters Wellness LLC
- Ayeh Darvishzadeh
- Darwich Partners Inc.
- Darwich Partners Inc.
- Collin James Darwish
- Husam Hussain Darwish
- Sarah Arvilla Dascanio
- Rajesh Dash
- Hiroshi Date
All providers in Durham, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.