DUKE ENDOSCOPY OF RALEIGH – NPI #1366643124
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

DUKE ENDOSCOPY OF RALEIGH is a provider located in RALEIGH, NC. NPPES has assigned the NPI number 1366643124 to DUKE ENDOSCOPY OF RALEIGH on May 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUKE ENDOSCOPY OF RALEIGH” is a dba name, the actual legal business name for this organization is PRIVATE DIAGNOSTIC CLINIC, PLLC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 4 years ago on May 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUKE ENDOSCOPY OF RALEIGH below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1366643124
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Doing Business As (dba): DUKE ENDOSCOPY OF RALEIGH
Primary location
3480 WAKE FOREST RD
SUITE 500
RALEIGH, NC 27609-7317
Phone: (919) 684-8111 Fax:
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
CHRISTOPHER FREDERICK
CFO
Phone: (919) 613-7762
Updated
Certification Date
May 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DUKE ENDOSCOPY OF RALEIGH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP #NC230575
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
NC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.