NPIMap

Organization Active NPI

Essential Geriatric Care, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Hillsborough, NC
National Provider Identifier
1912190281
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2006-01726 Issued in NC
Legal business name
ESSENTIAL GERIATRIC CARE, PA
Practice address
300 Meadowlands Dr
Hillsborough, NC 27278-8502
Phone
(919) 644-6714
NPI assigned
Aug 21, 2007
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Hong Yu, MDNPI 1467674465
Title
Owner
Phone
(919) 260-1002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2006-01726 NC Primary

Addresses

Primary practice location

300 Meadowlands Dr
Hillsborough, NC 27278-8502

Mailing address

216 Farm Gate Dr
Hillsborough, NC 27278-7904
Phone (919) 260-1002

Other identifiers 3

IdentifierTypeStateIssuer
5907345MedicaidNC
DN8290OtherNCMEDICARE RAILROAD
1467674465OtherNCINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000493 NC Part B Supplier - Clinic/Group Practice 4789766510 Receives reassigned benefits from 6 practitioners
Practice locations: Hillsborough, NC

National Provider Directory

National Provider Directory

Locations

4220 Apex Hwy
Ste 130
Durham, NC 27713

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1912190281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FARM GATE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272787904",
            "telephone_number": "919-260-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEADOWLANDS DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788502",
            "telephone_number": "919-644-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL GERIATRIC CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-260-1002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2006-01726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907345",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DN8290",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467674465",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.