Individual provider Active NPI

Teofil Ioan Misaras, NP

  • Gerontology Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1710328240
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5006281 Issued in NC
Practice address
3416 Poole Rd Ste 120
Raleigh, NC 27610-2918
Phone
(919) 902-7366
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5006281 NC Primary

Addresses

Primary practice location

3416 Poole Rd Ste 120
Raleigh, NC 27610-2918

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127000951 NC Practitioner - Nurse Practitioner 2961638762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3416 Poole Rd
Suite 120
Raleigh, NC 27610-2918
Phone (919) 902-7366

Hospital & facility affiliations

  • Suncrest Home Health Home health agency, Durham, NC, CCN 347011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Nov 10, 2025 Accepting new patients
Vitae Health Medical North Carolina, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Osh-Mi Physicians Group PC Gerontology CurrentSince Nov 10, 2025 Accepting new patients

Locations

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

4230 N Roxboro St
Durham, NC 27704
Phone (919) 471-6918

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

3416 Poole Rd
Ste 120
Raleigh, NC 27610
Phone (919) 902-7366

Organizations & group practices 5

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1710328240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730",
            "fax_number": "984-202-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 POOLE RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102918",
            "telephone_number": "919-902-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISARAS",
        "first_name": "TEOFIL",
        "middle_name": "IOAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5006281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.