Organization Active NPI

Center for Infectious Diseases, Inc

  • Infectious Disease Physician
  • Statesville, NC
National Provider Identifier
1972529329
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CENTER FOR INFECTIOUS DISEASES, INC
Practice address
276 Old Mocksville Rd
Suite 1100
Statesville, NC 28625-1949
Phone
(704) 878-2523
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Robert Aryeetey, MDNPI 1104871581
Title
Physician
Phone
(704) 878-2523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

276 Old Mocksville Rd
Suite 1100
Statesville, NC 28625-1949

Mailing address

PO Box 5187
Mooresville, NC 28117-5187
Phone (704) 878-2523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061214000522 NC Part B Supplier - Clinic/Group Practice 8628077930 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC; Statesville, NC

National Provider Directory

National Provider Directory

Locations

170 Medical Park Rd
Ste 311
Mooresville, NC 28117
Phone (704) 878-2523

276 Old Mocksville Rd
Ste 1100
Statesville, NC 28625
Phone (704) 878-2523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1972529329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5187",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175187",
            "telephone_number": "704-878-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE RD",
            "address_2": "SUITE 1100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251949",
            "telephone_number": "704-878-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INFECTIOUS DISEASES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "ARYEETEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-878-2523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.