Active NPI
Tatiana Acosta, M.D., M.P.H
- Obstetrics & Gynecology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2021-02329
- Practice address
- 4414 Lake Boone TRL Ste 405
Raleigh, NC 27607-7520 - Phone
- (919) 876-8225
- NPI assigned
- Apr 6, 2017
- Last updated
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2021-02329 | NC | Primary |
| Obstetrics Physician | 207VX0000X | 2021-02329 | NC |
Addresses
Primary practice location
4414 Lake Boone TRL Ste 405
Raleigh, NC 27607-7520
Mailing address
4414 Lake Boone TRL Ste 405
Raleigh, NC 27607-7520
Phone (919) 876-8225
Other practice location 1
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other practice location 2
4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552
Phone (919) 556-1008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Raleigh | Health Information Exchange (HIE) |
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
- Obstetrics/Gynecology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7520
Phone (919) 876-8225
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-02329 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Whap, PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
4414 Lake Boone Trl
Ste 405
Raleigh, NC 27607
Phone (919) 876-8225
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
Interoperability endpoints
- tatiana.acosta.1@7773.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
dba Lyndhurst Gynecologic Associates
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1649261785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1891228870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 405",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077520",
"telephone_number": "919-876-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 405",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077520",
"telephone_number": "919-876-8225"
}
],
"practiceLocations": [
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4551 New Bern Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101552",
"country_code": "US",
"telephone_number": "919-556-1008",
"fax_number": "919-556-6099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA",
"first_name": "TATIANA",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2021-02329",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NC",
"license": "2021-02329",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Raleigh",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4414 Lake Boone Trl Ste 405",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.