Individual provider Active NPI

Claire Kelleher, M.D.

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1881072528
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2018-00916 Issued in NC
Practice address
1181 Weaver Dairy Rd Ste 210
Chapel Hill, NC 27514-1870
Phone
(984) 215-4339
Fax
(984) 215-4342
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2018-00916 NC Primary

Addresses

Primary practice location

1181 Weaver Dairy Rd Ste 210
Chapel Hill, NC 27514-1870

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

510 N Elam Ave Ste 202
Greensboro, NC 27403-1177
Phone (336) 299-3183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckelleher536021@direct.UNC.nchie.net Direct

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
I20210804000092 NC Practitioner - Pediatric Medicine 3274841242 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00916NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Single Specialty CurrentSince Jul 28, 2021 Accepting new patients
Unc Physicians Network LLC Single Specialty Current Accepting new patients
Unc Physicians Network LLC Pediatrics CurrentSince Jul 28, 2021 Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

1181 Weaver Dairy Rd
Ste 210
Chapel Hill, NC 27514
Phone (984) 215-4339

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

7011 Fayetteville Rd
Ste 210
Durham, NC 27713
Phone (919) 806-3335

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: ckelleher536021@direct.unc.nchie.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1881072528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 WEAVER DAIRY RD STE 210",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141870",
            "telephone_number": "984-215-4339",
            "fax_number": "984-215-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 N Elam Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031177",
            "country_code": "US",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "CLAIRE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2018-00916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckelleher536021@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1181 Weaver Dairy Rd Ste 210",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275141870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.