NPIMap

Organization Active NPI

NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1962948240
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218968 Issued in NC
Legal business name
NC ELDER CARE PLLC
Practice address
1380 Eastchester Dr Ste 103
High Point, NC 27265-2660
Phone
(336) 521-9480
NPI assigned
Jan 11, 2017
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mr. Rizwan Pasha Haque
Title
Director of Operations
Phone
(336) 521-9480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218968 NC Primary

Addresses

Primary practice location

1380 Eastchester Dr Ste 103
High Point, NC 27265-2660

Mailing address

1380 Eastchester Dr Ste 103
High Point, NC 27265-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321002110 NC Part B Supplier - Clinic/Group Practice 6406293851 Receives reassigned benefits from 7 practitioners
Practice locations: High Point, NC

National Provider Directory

National Provider Directory

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

1380 Eastchester Dr
Ste 103
High Point, NC 27265
Phone (336) 521-9480

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1962948240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 EASTCHESTER DR STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EASTCHESTER DR STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652660",
            "telephone_number": "336-521-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC ELDER CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_middle_name": "PASHA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "336-521-9480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "218968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.