Madeline Adeniyi, PA-C
Individual provider Active NPI Physician Assistant · Durham, NC
NPI 1992311336 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1992311336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3643 N Roxboro St
Durham, NC 27704-2702 - Phone
- (919) 470-4000
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Duke University Health System, Inc
Practice addresses (Care Compare)
3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 470-8490
3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356
Hospital & facility affiliations
- Duke Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219003008 | NC | Practitioner - Physician Assistant | 7911397096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027613 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Internal Medicine | Current |
Accepting new patients |
| Duke University Health System, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
Interoperability endpoints
- mgallagher568244@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3643 N Roxboro St
Durham, NC 27704-2702
Mailing address
3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-4000
Other practice location 1
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4011
Other names
- Madeline Gallagher
Other providers in Durham, NC
- Oluwakemi Adekunle
- Modinat Adenike Adeleye
- Mehdi Mohammad G a Adeli
- Shqipe Ademi
- Lydia Oluwafunke Ademuwagun
- Elizabeth Aderoju
- Esther Adesina
- Modupe Olufunmilayo Adetunji
- Obinna O Adibe
- Shruti Radhakrishna Adiga
All providers in Durham, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.