Individual provider Active NPI

Gretchen Maria Inkumsah, D.O.

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1760611487
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2012-01846 Issued in NC
Practice address
6801 Falls of Neuse Rd Ste 401
Raleigh, NC 27615-5325
Phone
(919) 373-3636
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012-01846 NC Primary

Addresses

Primary practice location

6801 Falls of Neuse Rd Ste 401
Raleigh, NC 27615-5325

Mailing address

5045 NC Highway 42 W # B
Wilson, NC 27893-7731
Phone (919) 744-7793

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215002916 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1355642307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2012-01846NCMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1760611487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 NC HIGHWAY 42 W # B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278937731",
            "telephone_number": "919-744-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 FALLS OF NEUSE RD STE 401",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155325",
            "telephone_number": "919-373-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INKUMSAH",
        "first_name": "GRETCHEN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-01846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.