Organization Active NPI

Piedmont Internal Medicine, Pulmonary and Infectious Diseases, PA

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1992757827
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9600123 Issued in NC
Legal business name
PIEDMONT INTERNAL MEDICINE, PULMONARY AND INFECTIOUS DISEASES, PA
Doing business as
Piedmont Internal Medicine, Pulmonary and Infectious Diseases, PA
Practice address
3214 Charles B Root Wynd
Suite 211
Raleigh, NC 27612-5440
Phone
(919) 787-9993
Fax
(919) 787-7073
NPI assigned
May 17, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Syed A Masood, MDNPI 1053363325
Title
President
Phone
(919) 787-9993

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9600123 NC Primary
Pulmonary Disease Physician 207RP1001X 9600122 NC

Addresses

Primary practice location

3214 Charles B Root Wynd
Suite 211
Raleigh, NC 27612-5440

Mailing address

3214 Charles B Root Wynd
Suite 211
Raleigh, NC 27612-5440
Phone (919) 787-9993

Other identifiers 2

IdentifierTypeStateIssuer
890270PMedicaidNC
0270POtherNCBCBS

Other names 1

  • Piedmont Internal Medicine, Pulmonary and Infectious Diseases, PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000548 NC Part B Supplier - Clinic/Group Practice 9234042268 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0943987Piedmont Internal Medicine3214 Charles B Root Wynd Ste 211, Raleigh, NC 27612Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

3214 Charles B Root Wynd
Ste 211
Raleigh, NC 27612
Phone (919) 787-9993

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1992757827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125440",
            "telephone_number": "919-787-9993",
            "fax_number": "919-787-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125440",
            "telephone_number": "919-787-9993",
            "fax_number": "919-787-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT INTERNAL MEDICINE, PULMONARY AND INFECTIOUS DISEASES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-787-9993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600123",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9600122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890270P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0270P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Internal Medicine, Pulmonary and Infectious Diseases, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.