RALEIGH DURHAM MEDICAL GROUP PA
NPI 1336191972
Pediatrics in Cary, NC
NPI Status: Active since May 16, 2006
Contact Information
97 CORNERSTONE DR
CARY, NC
ZIP 27519
Phone: (919) 460-0993
Fax: (919) 481-3952
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 34D0903503
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-07-2025
About RALEIGH DURHAM MEDICAL GROUP PA
This page provides the complete NPI Profile along with additional information for Raleigh Durham Medical Group Pa, a pediatrician established in Cary, North Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1336191972 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated August 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1336191972
- Provider Legal Name
- RALEIGH DURHAM MEDICAL GROUP PA
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 97 CORNERSTONE DR CARY, NC 27519
- Location Phone
- (919) 460-0993
- Location Fax
- (919) 481-3952
- Mailing Address
- PO BOX 96860 CHARLOTTE, NC 28296
- Mailing Phone
- (919) 233-5952
- Mailing Fax
- (919) 481-3952
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-16-2006
- Last Update Date
- 08-11-2025
- Code Navigator
A pediatrician like Raleigh Durham Medical Group Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Bronze Standard | with UNC Health Alliance - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Gold Standard | with UNC Health Alliance - EPO
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Silver Standard | with UNC Health Alliance - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
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.
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.
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 |
|---|---|---|---|
| 5900351 | MEDICAID (05) | NC | |
| 02067 | OTHER (01) | NC | BCBS |
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
- 34D0903503
- Facility Type
- Physician Office
- Certificate Effective Date
- September 08, 2023
- Certificate Expiration Date
- September 07, 2025
- Laboratory Director
- DR. RICHARD GELBER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Raleigh Durham Medical Group Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 9 | 1 | 9 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 9 | 2 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 9 + 2 + 9 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1336191972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366425902 | DR. HEATHER ANNE PETERSON M.D. Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1841348877 | MEAGHAN HADDEN WILDS PNP Individual | Nurse Practitioner (Pediatrics) | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1275588121 | SHERILL LYNN STEEN PA Individual | Physician Assistant | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1093752693 | MARY ROSE WEDEGAERTNER MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1194743583 | RICHARD STEVEN GELBER M.D. Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1306005434 | KRISTIN LYNN DONOGHUE MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1396005328 | MATTHEW FRANCIS BALDWIN MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1396873667 | DR. KELLY A CARNEY MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1518192897 | DR. THERESA ANN KALLMAN MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1538488838 | RETURI PRITI ELKINS-WILLIAMS MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1558654210 | CHITRABHARATHI CHANDRASEKARAN M.D Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1639790900 | DR. ELLEN COWHERD GHODKE MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1467499061 | BRETT LAMOND WILSON MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1558308155 | WILLIAM JEFFREY RUTLEDGE MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1669559787 | VANDANA NAYAL MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
| 1780872341 | SHEFALI VAIBHAV PARMAR MD Individual | Pediatrics | 97 CORNERSTONE DR CARY, NC 27519 (919) 460-0993 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336191972, enumerated in the NPI registry as an "organization" on May 16, 2006
The provider is located at 97 Cornerstone Dr Cary, Nc 27519 and the phone number is (919) 460-0993
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield 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 34D0903503 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 16, 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].
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