Individual provider Active NPI

Gurdev Singh Judge, M.D.

  • Allergy & Immunology Physician
  • Cary, NC
National Provider Identifier
1831113307
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35935 Issued in NC
Practice address
401 Keisler Dr
Suite 201
Cary, NC 27511-7084
Phone
(919) 859-5966
Fax
(919) 859-4993
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35935 NC Primary

Addresses

Primary practice location

401 Keisler Dr
Suite 201
Cary, NC 27511-7084

Mailing address

401 Keisler Dr
Suite 201
Cary, NC 27518-7084
Phone (919) 859-5966

Other identifiers 2

IdentifierTypeStateIssuer
8947638MedicaidNC
P00112304OtherNCRAIL ROAD MEDICARE

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
I20031203000173 NC Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4981508769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Duke University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10931 Raven Ridge Rd
Suite 111
Raleigh, NC 27614-6499
Phone (919) 859-5966

401 Keisler Dr
Cary, NC 27518-7084
Phone (919) 859-5966

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Sinus Center, P.a. Allergy & Immunology CurrentSince Aug 6, 2002 Accepting new patients

Locations

401 Keisler Dr
Cary, NC 27518
Phone (919) 524-6551

401 Keisler Dr
Ste 201
Cary, NC 27518
Phone (919) 589-5966

10931 Raven Ridge Rd
Ste 111
Raleigh, NC 27614
Phone (919) 859-5966

1906 S Main St
Ste 216
Wake Forest, NC 27587
Phone (919) 859-5966

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1831113307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-859-5966",
            "fax_number": "919-859-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117084",
            "telephone_number": "919-859-5966",
            "fax_number": "919-859-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "GURDEV",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "35935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947638",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00112304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.