DUKE UROLOGY OF RALEIGH
NPI 1235162314
Urology in Raleigh, NC

NPI Status: Active since July 09, 2006

Contact Information

3404 WAKE FOREST RD
SUITE 302
RALEIGH, NC
ZIP 27609
Phone: (919) 684-8111

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  • Organization
  • Urology
  • Accepts Insurance
  • CLIA Number: 34D2026351
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-28-2025

About DUKE UROLOGY OF RALEIGH

This page provides the complete NPI Profile along with additional information for Duke Urology Of Raleigh, a provider established in Raleigh, North Carolina operating as a Urology. The healthcare provider is registered in the NPI registry with number 1235162314 assigned on July 2006. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Duke Urology Of Raleigh operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Duke Urology Of Raleigh. The authorized official of this NPI record is Christopher Thomas Frederick (Cfo)

NPI
1235162314
Provider Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Other Organization Name
DUKE UROLOGY OF RALEIGH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3404 WAKE FOREST RD SUITE 302 RALEIGH, NC 27609
Location Phone
(919) 684-8111
Mailing Address
PO BOX 110566 DURHAM, NC 27709
Mailing Phone
(919) 620-4855
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2006
Last Update Date
05-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER THOMAS FREDERICK

Authorized Official Title
CFO
Authorized Official Phone
(919) 613-7762

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7907025MEDICAID (05)NC 
07020OTHER (01)NCGRP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2026351
Facility Type
Physician Office
Certificate Effective Date
June 29, 2023
Certificate Expiration Date
June 28, 2025
Laboratory Director
AARON C. LENTZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Duke Urology Of Raleigh to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DUKE UROLOGY OF RALEIGH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235162314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226526432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 6 + 4 + 3 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1235162314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467455832 JON KOLKIN M.D.
Individual
Orthopaedic Surgery3404 WAKE FOREST RD STE 303
RALEIGH, NC 27609
(919) 872-3171
1386644912 RICHARD IVAN HAYES MD
Individual
Obstetrics & Gynecology3404 WAKE FOREST RD SUITE 100
RALEIGH, NC 27609
(919) 876-8225
1023018173 WINDSOR AUSTIN HOLT MD
Individual
Obstetrics & Gynecology3404 WAKE FOREST RD SUITE 100
RALEIGH, NC 27609
(919) 876-8225
1366405441 KIM RENUART TOWNSEND MSOTR/L CHT
Individual
Occupational Therapist (Hand)3404 WAKE FOREST RD SUITE 303
RALEIGH, NC 27609
(919) 872-3171
1265488662 KENNETH PELLETIER PA-C
Individual
Physician Assistant (Surgical)3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609
(919) 256-1511
1528014081 KEVIN P SPEER MD
Individual
Orthopaedic Surgery3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609
(919) 256-1511
1538106109 MARC PAPPALARDO PT
Individual
Physical Therapist (Orthopedic)3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609
(919) 256-1525
1093744880DR. MICHAEL DAVID SPIRITOS M.D.
Individual
Internal Medicine (Hematology & Oncology)3404 WAKE FOREST RD SUITE 202
RALEIGH, NC 27609
(919) 954-3050
1265625982MR. PAUL A SALAMH PT-DPT
Individual
Physical Therapist (Orthopedic)3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609
(919) 256-1511
1568634756CAROLINA WOMEN'S HEALTH, PA
Organization
Obstetrics & Gynecology3404 WAKE FOREST RD SUITE 200
RALEIGH, NC 27609
(919) 235-0097
1013156009 CASEY JOHNSON MS OTRL
Individual
Occupational Therapist (Hand)3404 WAKE FOREST RD SUITE 303
RALEIGH, NC 27609
(919) 872-3171
1477834349 BRITTANEY SWIFT WOLFE FNP-BC
Individual
Nurse Practitioner (Family)3404 WAKE FOREST RD SUITE 203
RALEIGH, NC 27609
(919) 790-1717
1942558705 MEAGHAN THOMAS COTA/L
Individual
Occupational Therapy Assistant3404 WAKE FOREST RD SUITE 303
RALEIGH, NC 27609
(919) 872-3171
1053367615SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA
Organization
Clinic/Center (Multi-Specialty)3404 WAKE FOREST RD STE 201
RALEIGH, NC 27609
(919) 256-1511
1255370839 STEPHEN J TREMONT M.D.
Individual
Internal Medicine (Medical Oncology)3404 WAKE FOREST RD SUITE 100
RALEIGH, NC 27609
(919) 954-3050
1336189174 NEERAJ R AGRAWAL MD
Individual
Internal Medicine (Medical Oncology)3404 WAKE FOREST RD SUITE 100
RALEIGH, NC 27609
(919) 954-3050
1023517745 MELISSA JO PETERSON NP-BC
Individual
Nurse Practitioner (Family)3404 WAKE FOREST RD
RALEIGH, NC 27609
(919) 862-5400
1891283073REGIONAL ANESTHESIA, PLLC
Organization
Specialist3404 WAKE FOREST RD
RALEIGH, NC 27609
(919) 384-0700
1801086905 KRISTEN MARIE REZAK MD
Individual
Surgery (Plastic and Reconstructive Surgery)3404 WAKE FOREST RD
RALEIGH, NC 27609
(919) 668-0261
1417184235DR. RIDDHISHKUMAR SHAH MD PHD
Individual
Internal Medicine3404 WAKE FOREST RD
RALEIGH, NC 27609
(919) 862-5400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235162314, enumerated in the NPI registry as an "organization" on July 09, 2006

The provider is located at 3404 Wake Forest Rd Suite 302 Raleigh, Nc 27609 and the phone number is (919) 684-8111

This medical organization specializes in Urology with taxonomy code 208800000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2026351 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.