Individual provider Active NPI

Ioana Antonescu, M.D.

  • Surgical Critical Care Physician
  • Raleigh, NC
National Provider Identifier
1952768343
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
2016-01109 Issued in NC
Practice address
3404 Wake Forest Rd Ste 202
Raleigh, NC 27609-7341
Phone
(919) 576-8155
Fax
(919) 862-5483
NPI assigned
Jan 15, 2016
Reactivated
Sep 8, 2016
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301116166 MI
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Critical Care Physician 2086S0102X 2016-01109 NC Primary

Addresses

Primary practice location

3404 Wake Forest Rd Ste 202
Raleigh, NC 27609-7341

Mailing address

3404 Wake Forest Rd Ste 202
Raleigh, NC 27609-7341
Phone (919) 576-8155

Other practice location 1

601 John St Ste M-460
Kalamazoo, MI 49007
Phone (269) 341-7333

Other practice location 2

3024 Burnett Womack Building
CB #7212
Chapel Hill, NC 27599-7212
Phone (919) 966-3392

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
I20191211002922 NC Practitioner - Vascular Surgery 4688925076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Carolina Vein Institute Surgery CurrentSince Nov 1, 2019 Accepting new patients

Locations

100 Europa Dr
Ste 180
Chapel Hill, NC 27517
Phone (919) 929-6777

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

2245 Gateway Access Pt
Ste 315
Raleigh, NC 27607
Phone (919) 510-8900

3404 Wake Forest Rd
Ste 202
Raleigh, NC 27609
Phone (919) 549-3050

Interoperability endpoints

  • Direct secure messaging: iantonescu472343@direct.medicine.duke.edu

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.

Hospital & facility affiliations 6

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": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1952768343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097341",
            "telephone_number": "919-576-8155",
            "fax_number": "919-862-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097341",
            "telephone_number": "919-576-8155",
            "fax_number": "919-862-5483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-460",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "49007",
            "country_code": "US",
            "telephone_number": "269-341-7333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3024 Burnett Womack Building",
            "address_2": "CB #7212",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997212",
            "country_code": "US",
            "telephone_number": "919-966-3392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONESCU",
        "first_name": "IOANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "deactivation_date": "2016-08-18",
        "reactivation_date": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301116166",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NC",
            "license": "2016-01109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.