Tracy Oghenerukewe Arusuraire, MD
Individual provider Active NPI Emergency Medicine Physician · Rocky Mount, NC
NPI 1912466897 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1912466897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 202201810 (NC)
- Practice address
- 2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237 - Phone
- (252) 962-8000
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Emergency Department Services, P.C.
Practice addresses (Care Compare)
1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-9000
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 503-3000
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Lumpkin
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 75.66
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220805001159 | NC | Practitioner - Emergency Medicine | 8820470982 | Reassigns benefits to 1 organization |
| I20250304003687 | GA | Practitioner - Emergency Medicine | 8820470982 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202201810 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robeson Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Georgia Emergency Department Services, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Wake Emergency Physicians PA | Emergency Medicine | Past |
Accepting new patients |
Locations
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 202201810 | NC | Yes |
Addresses
Primary practice location
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Mailing address
210 Towne Village Dr
Cary, NC 27513-8910
Phone (919) 859-3373
Other providers in Rocky Mount, NC
- Aray of Hope House
- Nana Fosuwa Arkhurst-Arthur
- Armeta Homes, LLC
- Christy Coley Arnold
- Harriet Arrington
- Aspirations and Miracles Community Support, LLC
- Aspirations and Miracles Community Support, LLC
- Aristides Paul Assimacopoulos
- Atcam LLC
- Chanda Natica Atkins
All providers in Rocky Mount, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.