Individual provider Active NPI

Daniel Seoyjong Oh, MD

  • Radiation Oncology Physician
  • Raleigh, NC
National Provider Identifier
1821258765
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2013-00093 Issued in NC
Practice address
4420 Lake Boone TRL Ste 102
Raleigh, NC 27607-7505
Phone
(919) 784-3018
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 149806 NC
Radiation Oncology Physician 2085R0001X 2013-00093 NC Primary

Addresses

Primary practice location

4420 Lake Boone TRL Ste 102
Raleigh, NC 27607-7505

Mailing address

PO Box 8423
Newco Cancer Services
Greenville, NC 27835-8423

Other practice location 1

600 Moye Blvd
Newco Cancer Service
Greenville, NC 27834-4300
Phone (252) 744-2900

Other identifiers 2

IdentifierTypeStateIssuer
1821258765MedicaidNC
179X4OtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130917000586 NC Practitioner - Radiation Oncology 1153565932 Reassigns benefits to 4 organizations
I20200506000984 SC Practitioner - Radiation Oncology 1153565932
I20241024000605 VA Practitioner - Radiation Oncology 1153565932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

188 S Main St
Danville, VA 24541-2922
Phone (434) 799-4592

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013
  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00093NCMDRadiation Oncology Physician
149806NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC CurrentSince Sep 30, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jul 1, 2020 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Jul 1, 2013 Accepting new patients
Scotland Memorial Hospital, Inc CurrentSince Jan 1, 2022 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Radiation Oncology CurrentSince Jul 1, 2020 Accepting new patients
Danville Physician Practices LLC CurrentSince Sep 30, 2024 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Danville Physician Practices LLC Medical Oncology Current Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Harris Family Practice PLLC Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
New Hanover Regional Medical Center Past Accepting new patients

Locations

300 Ashville Ave
Ste 110
Cary, NC 27518
Phone (919) 781-7070

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070

1161 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-4600

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

188 S Main St
Danville, VA 24541
Phone (434) 799-4592

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: doh92488@direct.medicine.duke.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 12

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1821258765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8423",
            "address_2": "NEWCO CANCER SERVICES",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Moye Blvd",
            "address_2": "Newco Cancer Service",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278344300",
            "country_code": "US",
            "telephone_number": "252-744-2900",
            "fax_number": "252-744-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "DANIEL",
        "middle_name": "SEOYJONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "149806",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2013-00093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821258765",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "179X4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.