Active NPI
Benu Chatterjee, M.D.
- Internal Medicine Physician
- Raleigh, NC
National Provider Identifier
1700877099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NC28603
- Practice address
- 6090 Six Forks Rd Ste a
Raleigh, NC 27609-8624 - Phone
- (919) 870-0488
- Fax
- (919) 870-8898
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NC28603 | NC | Primary |
Addresses
Primary practice location
6090 Six Forks Rd Ste a
Raleigh, NC 27609-8624
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084000 | Other | NC | AETNA |
| 248122 | Other | NC | MAMSI |
| 8922094 | Medicaid | NC | |
| 0450086 | Other | NC | UNITED HEALTH CARE |
| 22094 | Other | NC | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bchatterjee11167@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110126000527 | NC | Practitioner - Internal Medicine | 6204015027 | Practice locations: Raleigh, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC28603 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibbons Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- bchatterjee11167@direct.unc.nchie.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Cary, NC
- NPI 1376553610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1700877099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6090 SIX FORKS RD STE A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276098624",
"telephone_number": "919-870-0488",
"fax_number": "919-870-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERJEE",
"first_name": "BENU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "NC28603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2084000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "248122",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8922094",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0450086",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22094",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bchatterjee11167@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "6090 Six Forks Rd Ste A",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276098624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.