Active NPI
Boris Cvetkovski, M.D.
- Gastroenterology Physician
- Raleigh, NC
National Provider Identifier
1801842976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 200500025
- Practice address
- 2011 Falls Valley Dr
Suite 106
Raleigh, NC 27615-3452 - Phone
- (919) 870-1311
- Fax
- (919) 881-0822
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 200500025 | NC | Primary |
Addresses
Primary practice location
2011 Falls Valley Dr
Suite 106
Raleigh, NC 27615-3452
Mailing address
2011 Falls Valley Dr Ste 106
Raleigh, NC 27615-3452
Phone (919) 870-1311
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089911 | Other | NC | CCN |
| 5901202 | Medicaid | NC | |
| 1380V | Other | NC | BLUE CROSS BLUE SHIELD |
| 7138378 | Other | NC | CIGNA |
| P00219685 | Other | NC | RAILROAD MEDICARE |
| 5593649 | Other | NC | AETNA |
| 1877717 | Other | NC | UNITED HEALTHCARE |
| 2089911 | Other | NC | MAIL HANDLERS |
| D9864 | Other | NC | MEDCOST |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- New York University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2011 Falls Valley Dr
Suite 106
Raleigh, NC 27615-3452
Phone (919) 870-1311
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 57 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500025 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Healthcare PA | Current | Accepting new patients | |
| Gastrointestinal Healthcare PA | Gastroenterology | Current | Accepting new patients |
| Kennebec Gastrointestinal Assoc. | Gastroenterology | Past | Accepting new patients |
Locations
2011 Falls Valley Dr
Raleigh, NC 27615
Phone (919) 866-0002
2011 Falls Valley Dr
Ste 106
Raleigh, NC 27615
Phone (919) 870-1311
Interoperability endpoints
- https://a1c02ddf-9398-4db3-b17d-e4ed406c88f2.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Raleigh, NC
- NPI 1528015534
-
- Endoscopy Clinic/Center
- Raleigh, NC
- NPI 1477687242
-
- Gastroenterology Physician
- Augusta, ME
- NPI 1942214234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1801842976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 FALLS VALLEY DR STE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153452",
"telephone_number": "919-870-1311",
"fax_number": "919-881-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 FALLS VALLEY DR",
"address_2": "SUITE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153452",
"telephone_number": "919-870-1311",
"fax_number": "919-881-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CVETKOVSKI",
"first_name": "BORIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "200500025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "2089911",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901202",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1380V",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7138378",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00219685",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5593649",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1877717",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS",
"identifier": "2089911",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D9864",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.