Active NPI
John Dellabadia Jr., M.D.
- Neurology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2008-00343
- Practice address
- 4111 Capitol St Ste a
Durham, NC 27704 - Phone
- (919) 477-1588
- NPI assigned
- Jul 14, 2006
- Last updated
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11920R | LA | |
| Neurology Physician | 2084N0400X | 2008-00343 | NC | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 2008-00343 | NC |
Addresses
Primary practice location
4111 Capitol St Ste a
Durham, NC 27704
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5005
Phone (615) 345-5400
Other practice location 1
4801 Oak Way
Raleigh, NC 27613-6347
Phone (615) 345-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5909394 | Medicaid | NC | |
| 1688207 | Medicaid | LA |
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
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1161 Huffman Mill Rd a
Burlington, NC 27215-8862
Phone (919) 477-1588
3642 Henderson Dr a
Jacksonville, NC 28546-5217
Phone (919) 477-1588
4111 Capitol St
Durham, NC 27704-2153
Phone (919) 477-1588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11920R | LA | MD | Neurology Physician |
| 2008-00343 | NC | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Sleep Restoration Center, LLC | Past | Accepting new patients | |
| Feeling Great, Inc. | Past | Accepting new patients | |
| Feeling Great, Inc. | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
Interoperability endpoints
- john.dellabadia@feelinggreat.chartmakerdirect.com
Organizations & group practices 5
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Durham, NC
- NPI 1235344342
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Second Breath
- Durable Medical Equipment & Medical Supplies
- Burlington, NC
- NPI 1295054765
-
dba Second Breath
- Durable Medical Equipment & Medical Supplies
- Jacksonville, NC
- NPI 1588983050
-
- Sleep Disorder Diagnostic Clinic/Center
- Monroe, LA
- NPI 1174841837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1861418733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MARYLAND FARMS STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275005",
"telephone_number": "615-345-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 CAPITOL ST STE A",
"city": "DURHAM",
"state": "NC",
"postal_code": "27704",
"telephone_number": "919-477-1588"
}
],
"practiceLocations": [
{
"address_1": "4801 Oak Way",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276136347",
"country_code": "US",
"telephone_number": "615-345-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELLABADIA",
"first_name": "JOHN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "11920R",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2008-00343",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NC",
"license": "2008-00343",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909394",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1688207",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.