Organization Active NPI

Walk-in Family Care PLLC

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1932464286
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200401518 Issued in NC
Legal business name
WALK-IN FAMILY CARE PLLC
Practice address
7720 Chapel Hill Rd
Raleigh, NC 27607-4956
Phone
(919) 655-5020
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Samina Ismail, M.D.NPI 1609849900
Title
Doctor
Phone
(919) 961-2898

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 200401518 NC Primary

Addresses

Primary practice location

7720 Chapel Hill Rd
Raleigh, NC 27607-4956

Mailing address

309 Malvern Hill LN
Morrisville, NC 27560-9722
Phone (919) 655-5020

Other identifiers 1

IdentifierTypeStateIssuer
5900025MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121109000290 NC Part B Supplier - Clinic/Group Practice 5294986790 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

7720 Chapel Hill Rd
Ste 1
Cary, NC 27513

7718 Chapel Hill Rd
Cary, NC 27513
Phone (919) 655-5020

7870 Chapel Hill Rd
Cary, NC 27513
Phone (910) 852-1355

7720 Chapel Hill Rd
Cary, NC 27513

4041 Ed Dr
Raleigh, NC 27612
Phone (919) 324-3385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1932464286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MALVERN HILL LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609722",
            "telephone_number": "919-655-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 CHAPEL HILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074956",
            "telephone_number": "919-655-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK-IN FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-961-2898",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200401518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "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 7, 2013; 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.