Active NPI
Douglas A. Drossman, MD
- Gastroenterology Physician
- Durham, NC
National Provider Identifier
1962571232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 21027
- Practice address
- 5826 Fayetteville Rd Ste 201
Durham, NC 27713-8684 - Phone
- (919) 265-8516
- Fax
- (919) 843-5515
- NPI assigned
- Nov 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 21027 | NC | Primary |
Addresses
Primary practice location
5826 Fayetteville Rd Ste 201
Durham, NC 27713-8684
Mailing address
5826 Fayetteville Rd Ste 201
Durham, NC 27713-8684
Phone (919) 265-8516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8929175 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2017 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1962571232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5826 FAYETTEVILLE RD STE 201",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138684",
"telephone_number": "919-265-8516",
"fax_number": "919-843-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5826 FAYETTEVILLE RD STE 201",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138684",
"telephone_number": "919-265-8516",
"fax_number": "919-843-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROSSMAN",
"first_name": "DOUGLAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "21027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8929175",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.