Active NPI
Dominic S Putala, DO
- Internal Medicine Physician
- Asheville, NC
National Provider Identifier
1972180107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2022-02423
- Practice address
- 123 Hendersonville Rd
Asheville, NC 28803-2868 - Phone
- (828) 771-3500
- Fax
- (828) 412-4171
- NPI assigned
- Mar 25, 2021
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2022-02423 | NC | |
| Internal Medicine Physician | 207R00000X | 2022-02423 | NC | Primary |
Addresses
Primary practice location
123 Hendersonville Rd
Asheville, NC 28803-2868
Mailing address
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-3500
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111
Hospital & facility affiliations
- Memorial Mission Hospital and Asheville Surgery Ce
- The McDowell Hospital
- Cherokee Indian Hospital Authority
- Adventhealth Hendersonville
- Blue Ridge Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02423 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Southeastern Medical Group, PC | Hospitalist | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214
190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Hospitalist Physician
- Brevard, NC
- NPI 1184669053
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Rural Acute Care Hospital
- Spruce Pine, NC
- NPI 1578048294
-
- Rural Health Clinic/Center
- Spruce Pine, NC
- NPI 1720556269
Hospital
-
- Rural Health Clinic/Center
- Burnsville, NC
- NPI 1881161347
Hospital
-
- General Acute Care Hospital
- Marion, NC
- NPI 1225513948
-
- Rural Health Clinic/Center
- Forest City, NC
- NPI 1962978122
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1972180107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 HENDERSONVILLE RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032868",
"telephone_number": "828-771-3500",
"fax_number": "828-412-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HENDERSONVILLE RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032868",
"telephone_number": "828-771-3500",
"fax_number": "828-412-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTALA",
"first_name": "DOMINIC",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2022-02423",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2022-02423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.