Individual provider Active NPI

David A Konanc, M.D.

  • Neurology Physician
  • Raleigh, NC
National Provider Identifier
1801842794
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
93-00506 Issued in NC
Practice address
Raleigh Neurology Associates, PA
1540 Sunday Dr.
Raleigh, NC 27607-5163
Phone
(919) 782-3456
NPI assigned
May 25, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 93-00506 NC Primary
Clinical Neurophysiology Physician 2084N0600X 93-00506 NC

Addresses

Primary practice location

Raleigh Neurology Associates, PA
1540 Sunday Dr.
Raleigh, NC 27607-5163

Mailing address

Raleigh Neurology Associates, PA
1540 Sunday Dr.
Raleigh, NC 27607-5163
Phone (919) 782-3456

Other identifiers 1

IdentifierTypeStateIssuer
891050QMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address konanc@rna.medalliesdirect.net Health Information Exchange (HIE)

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
I20040419001671 NC Practitioner - Neurology 3173518073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Carolina at Chapel Hill School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
65.93
Promoting interoperability
100
Improvement activities
40
Cost
84.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93-00506NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurology Associates, P. a. Neurology CurrentSince Jul 14, 1997 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

1540 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456

Interoperability endpoints

  • Direct secure messaging: david.konanc.1@25810.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25810/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1801842794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RALEIGH NEUROLOGY ASSOCIATES, PA",
            "address_2": "1540 SUNDAY DR.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075163",
            "telephone_number": "919-782-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RALEIGH NEUROLOGY ASSOCIATES, PA",
            "address_2": "1540 SUNDAY DR.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075163",
            "telephone_number": "919-782-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONANC",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "93-00506",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NC",
            "license": "93-00506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891050Q",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "konanc@rna.medalliesdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "Raleigh Neurology Associates, PA",
            "address_2": "1540 Sunday Dr.",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276075163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.