Individual provider Active NPI

Michael Charles Repka, MD

  • Radiation Oncology Physician
  • Chapel Hill, NC
National Provider Identifier
1760829527
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2021-02709 Issued in NC
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(984) 974-1000
NPI assigned
Jun 3, 2013
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 293549 NY
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 2021-02709 NC Primary

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

259 1St St
Mineola, NY 11501-3957
Phone (516) 663-5576

Other practice location 1

259 1st St
Mineola, NY 11501-3957
Phone (516) 663-5576

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrepka737567@direct.UNC.nchie.net Other

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
I20211124002314 NC Practitioner - Radiation Oncology 7416205968 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smithfield Radiation Oncology LLCGroup PAC ID 6709835846, 18 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486
Phone (919) 209-3555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-02709NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Single Specialty Current Accepting new patients
Smithfield Radiation Oncology, LLC Single Specialty CurrentSince Dec 6, 2021 Accepting new patients
Johnston Radiation Oncology LLC Single Specialty CurrentSince Dec 6, 2021 Accepting new patients
University of North Carolina at Chapel Hill Single Specialty CurrentSince Dec 6, 2021 Accepting new patients
Park Ophthalmology Single Specialty Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

516 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-6862

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

Interoperability endpoints

  • Direct secure messaging: mrepka737567@direct.unc.nchie.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1760829527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 1st St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "516-663-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPKA",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "293549",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2021-02709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrepka737567@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.