Individual provider Active NPI

Emil J Cekada, M.D.

  • Surgery Physician
  • Wilson, NC
National Provider Identifier
1942272638
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9700893 Issued in NC
Practice address
130 Glendale Dr W
Wilson, NC 27893-2770
Phone
(252) 399-7557
Fax
(252) 399-1324
NPI assigned
Feb 6, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9700893 NC Primary

Addresses

Primary practice location

130 Glendale Dr W
Wilson, NC 27893-2770

Mailing address

130 Glendale Dr W
Wilson, NC 27893-2770
Phone (252) 399-7557

Other identifiers 13

IdentifierTypeStateIssuer
1523208OtherNCFIRST HEALTH
1056COtherNCBCBS
246290584OtherNCCHAMPUS
31862OtherNCPARTNERS
E1228OtherNCMEDCOST
5747544OtherNCAETNA
1903465OtherNCUNITED
3780062OtherNCAETNA HMO
7102463OtherNC7102463
891056CMedicaidNC
9049096OtherNCPRIVATE HEALTH CARE SYST
P00221796OtherNCRR MEDC
212568OtherNCBEECHSTREET/FOCUS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecekada212678@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
I20040922000701 NC Practitioner - General SurgeryPractitioner - General Practice 6002884590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3601 Southwest 160TH Ave
Suite 250
Miramar, FL 33027-6314

5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8892NCMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Unifour Surgical Assoicates, PA Surgery Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

2800 Blue Ridge Rd
Ste 300
Raleigh, NC 27607
Phone (919) 784-7810

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

130 Glendale Dr W
Wilson, NC 27893
Phone (252) 234-9469

Interoperability endpoints

  • Direct secure messaging: ecekada212678@direct.unc.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1942272638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GLENDALE DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932770",
            "telephone_number": "252-399-7557",
            "fax_number": "252-399-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GLENDALE DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932770",
            "telephone_number": "252-399-7557",
            "fax_number": "252-399-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEKADA",
        "first_name": "EMIL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9700893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1523208",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1056C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "246290584",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "31862",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E1228",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5747544",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1903465",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3780062",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7102463",
            "identifier": "7102463",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891056C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE SYST",
            "identifier": "9049096",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDC",
            "identifier": "P00221796",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET/FOCUS",
            "identifier": "212568",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecekada212678@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "130 Glendale Dr W",
            "city": "Wilson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278932770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.