Active NPI
Ivy Peed Pointer, M.D.
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 2009-00474
- Practice address
- 3024 New Bern Ave
Raleigh, NC 27610-1247 - Phone
- (919) 350-8545
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2009-00474 | NC | Primary |
| Pediatrics Physician | 208000000X | 2009-00474 | NC |
Addresses
Primary practice location
3024 New Bern Ave
Raleigh, NC 27610-1247
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (877) 498-4490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ipointer25229@directHISP.wakemed.org | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Wakemed Specialists Group, LLC | Current | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
2920 Highwoods Blvd
Raleigh, NC 27604
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
Interoperability endpoints
- ipointer25229@directhisp.wakemed.org
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 and National Provider Directory roles.
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- Cardiac Rehabilitation Registered Nurse
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- NPI 1063304228
-
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
- NPI 1174187637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1962629790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "877-498-4490",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101247",
"telephone_number": "919-350-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINTER",
"first_name": "IVY",
"middle_name": "PEED",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2009-00474",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-00474",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ipointer25229@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "3024 New Bern Ave",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101247",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 18, 2024; 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.