Matthew Michael Draelos, MD, PHD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

310207 Issued in NC

Practice address

40 Duke Medicine Cir # 3K
Durham, NC 27710-2286

Phone

(919) 684-3432

NPI assigned

Apr 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Duke University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: mdraelos413546@directhisp.wakemed.org

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1720723240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SOUTH COLUMBIA ST 126 MACNIDER HALL CB#7005",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275992286",
            "telephone_number": "919-974-4462",
            "fax_number": "919-843-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR # 3K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277102286",
            "telephone_number": "919-684-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAELOS",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "310207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. McClary & Associates III, P.a.
• Dr. Pat Cassidy & Partners, PLLC
• Dr. Stephen J. Vanyo DMD PA
• Dr. William H. Gordon, D.D.S., P.a.
• Mark Draelos
• Richard Draffin
• Kali Marie Drake
• Iris Drakeford, LMFTA
• Kaitlin Drapkin
• Madison Drass

• Student in an Organized Health Care Education/Training Program in Durham, NC
• Providers in Durham, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.
• 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.