Active NPI
Shahram T Tehrani, MD
- Internal Medicine Physician
- Raleigh, NC
National Provider Identifier
1962489674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9900138
- Practice address
- 10901 Ashland Mill CT
Raleigh, NC 27617-7765 - Phone
- (919) 272-1026
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9900138 | NC | Primary |
| Hospitalist Physician | 208M00000X | 9900138 | NC |
Addresses
Primary practice location
10901 Ashland Mill CT
Raleigh, NC 27617-7765
Mailing address
10901 Ashland Mill CT
Raleigh, NC 27617-7765
Phone (919) 272-1026
Other practice location 1
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-7093
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912275 | Medicaid | NC | |
| 12275 | Other | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Internal Medicine | Past | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1174017511
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962489674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 ASHLAND MILL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177765",
"telephone_number": "919-272-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 ASHLAND MILL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177765",
"telephone_number": "919-272-1026"
}
],
"practiceLocations": [
{
"address_1": "4420 Lake Boone Trl",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077505",
"country_code": "US",
"telephone_number": "919-784-7093",
"fax_number": "919-784-7395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEHRANI",
"first_name": "SHAHRAM",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2023-03-07",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9900138",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "9900138",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912275",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12275",
"state": null
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.