Individual provider Active NPI

Duncan Fagundus, MD

  • Rheumatology Physician
  • Greenville, NC
National Provider Identifier
1972506921
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
38936 Issued in NC
Practice address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone
(252) 752-6101
Fax
(252) 752-6600
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 38936 NC Primary

Addresses

Primary practice location

1850 W Arlington Blvd
Greenville, NC 27834-5704

Mailing address

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101

Other identifiers 1

IdentifierTypeStateIssuer
8931112MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091223000424 NC Practitioner - Pediatric MedicinePractitioner - Rheumatology 7810037819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Rheumatology
Education
Brody School of Medicine at East Carolina University, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Physicians East PAGroup PAC ID 1850284571, 104 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians

Practice addresses (Care Compare)

1006 WH Smith Blvd
Greenville, NC 27834-5194
Phone (252) 413-6683

1109 Memorial Dr E
Ahoskie, NC 27910-3919
Phone (252) 332-6760

1711 E Arlington Blvd
Greenville, NC 27858-5872
Phone (252) 355-4357

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6641

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

3681 N Main St
Suite 114
Farmville, NC 27828-1464
Phone (252) 753-7141

4796 Old Tar Rd
Winterville, NC 28590-9752
Phone (252) 355-4111

744 Airport Rd
Kinston, NC 28504-8800
Phone (252) 523-0026

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians East, PA CurrentSince Jan 17, 2000 Accepting new patients
Physicians East, P.a. Rheumatology CurrentSince Jan 17, 2000 Accepting new patients
Physicians East PA Past Accepting new patients

Locations

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

Interoperability endpoints

  • Direct secure messaging: duncanfagundus@pepa.medalliesdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1972506921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-6101",
            "fax_number": "252-752-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-6101",
            "fax_number": "252-752-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUNDUS",
        "first_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "38936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.