NPIMap

Organization Active NPI

Duke Health Integrated Practice, Inc

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
National Provider Identifier
1740978386
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DUKE HEALTH INTEGRATED PRACTICE, INC
Practice address
10207 Cerny St Ste 210
Raleigh, NC 27617-4887
Phone
(800) 266-3853
NPI assigned
May 1, 2023
Organization subpart
Yes
Parent organization
DUKE HEALTH INTEGRATED PRACTICE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
John Stuart Smith
Title
VP Finance
Phone
(919) 613-8995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10207 Cerny St Ste 210
Raleigh, NC 27617-4887

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other names 1

  • Duke GI At Brier Creek Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122004118 NC Part B Supplier - Ambulatory Surgical Center 8325412737 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Duke HLTH Integrated Prac12 organizations share this tax ID, including this one
Part of
Duke HLTH Integrated Prac

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3,140

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,140

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1740978386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 CERNY ST STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174887",
            "telephone_number": "800-266-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE HEALTH INTEGRATED PRACTICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUKE HEALTH INTEGRATED PRACTICE, INC",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "919-613-8995"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke GI At Brier Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.