Individual provider Active NPI

Rafael M Moreschi, MD

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1962412213
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25378 Issued in NC
Practice address
105-A Kilmayne Drive
Cary, NC 27511
Phone
(919) 467-2253
Fax
(919) 467-2238
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25378 NC Primary
Cardiovascular Disease Physician 207RC0000X 64010 NC

Addresses

Primary practice location

105-A Kilmayne Drive
Cary, NC 27511

Mailing address

111 Ronsard LN
Cary, NC 27511
Phone (919) 524-0082

Other identifiers 1

IdentifierTypeStateIssuer
8960627MedicaidNC

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
I20040720001441 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8224018494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25378NCMDInternal Medicine Physician
64010NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital, Inc. Past Accepting new patients
Carolina Medical Care PLLC Internal Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1962412213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RONSARD LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-524-0082",
            "fax_number": "919-467-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-A KILMAYNE DRIVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-467-2253",
            "fax_number": "919-467-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESCHI",
        "first_name": "RAFAEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "25378",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "64010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.