Individual provider Active NPI

Audrey Chan Rhee, M.D.

  • Pediatric Urology Physician
  • Raleigh, NC
National Provider Identifier
1780806984
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
2023-01073 Issued in NC
Practice address
505 Oberlin Rd
Raleigh, NC 27605-1345
Phone
(919) 235-1940
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 001263 GA
Urology Physician 208800000X 2023-01073 NC
Pediatric Urology Physician 2088P0231X 01069595A IN
Pediatric Urology Physician 2088P0231X 2023-01073 NC Primary

Addresses

Primary practice location

505 Oberlin Rd
Raleigh, NC 27605-1345

Mailing address

PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-2266

Other practice location 1

9500 Euclid Avenue
Q10-1
Cleveland, OH 44195
Phone (216) 636-9483

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
I20230808003923 NC Practitioner - UrologyPractitioner - Pediatric Medicine 9638356561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Pediatric Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

505 Oberlin Rd
Raleigh, NC 27605-1327
Phone (919) 350-7251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001263GAMDUrology Physician
01069595AINMDPediatric Urology Physician
2023-01073NCMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC Urology CurrentSince Jun 26, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Jun 26, 2023 Accepting new patients
Wakemed Specialists Group, LLC Urology Current Accepting new patients
University Urologists, Inc., PC Urology Past Accepting new patients

Locations

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: arhee451469@directhisp.wakemed.org
  • Direct secure messaging: arhee167715@direct.ccf.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1780806984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603949",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603949",
            "telephone_number": "919-350-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051345",
            "telephone_number": "919-235-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Avenue",
            "address_2": "Q10-1",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44195",
            "country_code": "US",
            "telephone_number": "216-636-9483",
            "fax_number": "216-445-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEE",
        "first_name": "AUDREY",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "001263",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2023-01073",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IN",
            "license": "01069595A",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NC",
            "license": "2023-01073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.