Individual provider Active NPI

Katherine Menk Trahan, M.D.

  • Surgery Physician
  • Raleigh, NC
National Provider Identifier
1962417717
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2017-02317 Issued in NC
Practice address
2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476
Phone
(919) 784-7874
Fax
(919) 784-2708
NPI assigned
Jul 30, 2006
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101241803 VA
Surgery Physician 208600000X 2017-02317 NC Primary

Addresses

Primary practice location

2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476

Mailing address

2170 Vittorio LN
Apex, NC 27502-9678
Phone (434) 962-9034

Other practice location 1

2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476
Phone (919) 784-7874

Other names 1

  • Miss Katherine Grace Menk Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktrahan555909@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
I20190909000394 NC Practitioner - General Surgery 5890791412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

781 Avent Ferry Rd
Suite 214
Holly Springs, NC 27540-7776
Phone (919) 784-1410

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101241803VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Martha Jefferson Hospital Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 302
Cary, NC 27511
Phone (919) 367-2580

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

781 Avent Ferry Rd
Ste 214
Holly Springs, NC 27540
Phone (919) 567-6133

850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093

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

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

Interoperability endpoints

  • Direct secure messaging: ktrahan555909@direct.unc.nchie.net

Organizations & group practices 3

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 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1962417717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 VITTORIO LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029678",
            "telephone_number": "434-962-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076476",
            "telephone_number": "919-784-7874",
            "fax_number": "919-784-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Blue Ridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076476",
            "country_code": "US",
            "telephone_number": "919-784-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "KATHERINE",
        "middle_name": "MENK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101241803",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2017-02317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktrahan555909@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "2800 Blue Ridge Rd Ste 300",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MENK",
            "middle_name": "GRACE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.