Individual provider Active NPI

Jennifer N Dziwis, MD

  • Gastroenterology Physician
  • Raleigh, NC
National Provider Identifier
1831652908
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2025-00726 Issued in NC
Practice address
3300 Executive Dr Ste 101
Raleigh, NC 27609-7491
Phone
(919) 862-5075
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2025-00726 NC Primary

Addresses

Primary practice location

3300 Executive Dr Ste 101
Raleigh, NC 27609-7491

Mailing address

3300 Executive Dr Ste 101
Raleigh, NC 27609-7491

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
I20250918001060 NC Practitioner - Gastroenterology 3779963269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Rochester School of Medicine and Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 2, 2025 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

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

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

10 Duke Medicine Cir
Durham, NC 27710
Phone (919) 385-7941

10207 Cerny St
Ste 210
Raleigh, NC 27617
Phone (800) 266-3853

3300 Executive Dr
Raleigh, NC 27609
Phone (919) 862-5075

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

3300 Executive Dr
Ste 101
Raleigh, NC 27609
Phone (919) 862-5075

10207 Cerny St
Ste 200
Raleigh, NC 27617
Phone (919) 385-7675

Interoperability endpoints

  • Direct secure messaging: jdziwis426645@direct.medicine.duke.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1831652908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EXECUTIVE DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EXECUTIVE DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097491",
            "telephone_number": "919-862-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIWIS",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2025-00726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.