PERSONALIZED HEMATOLOGY-ONCOLOGY OF WAKE FOREST PLLC
NPI 1053679944
Internal Medicine - Hematology & Oncology in Wake Forest, NC

Q: What is Personalized Hematology-Oncology Of Wake Forest PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since April 27, 2012CLIA 34D2043480 · Accreditation

11635 NORTH PARK DRIVE, WAKE FOREST, NC 27587(919) 556-2907(919) 435-1060 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Personalized Hematology-oncology Of Wake Forest Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONALIZED HEMATOLOGY-ONCOLOGY OF WAKE FOREST PLLC (NPI 1053679944) is a healthcare organization registered as a hematology & oncology in Wake Forest, North Carolina and active in the NPI registry since April 2012. The organization holds an CLIA Accreditation certificate valid through April 23, 2027 and lists Luminita Castillos, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1053679944

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NamePERSONALIZED HEMATOLOGY-ONCOLOGY OF WAKE FOREST PLLC

Location Address11635 NORTH PARK DRIVEWake Forest, NC 27587-6298

Mailing Address11635 North Park Drive, Suite 250Wake Forest, NC 27587-6298 · (919) 825-4637 · Fax (919) 435-1060

Phone(919) 556-2907

Fax(919) 435-1060

Organization SubpartNo

Authorized OfficialLuminita CastillosPractice Manager · (919) 556-2907

Enumeration DateApril 27, 2012

Last NPPES UpdateJuly 5, 2012

✔ NPI 1053679944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NC · 200400833

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 200400833 (NC)

11635 NORTH PARK DRIVE, Wake Forest, NC 27587

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Other Identifiers 4

Other137UCNC · Bcbs

Medicare UPINH11669NC

Medicaid89137UCNC

Medicare PIN2032508NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2043480

Personalized Hematology Oncology Of Wake Forest, PLLC · Wake Forest, NC

Active · expires Apr 23, 2027

CLIA Number34D2043480

Laboratory TypePhysician Office

Certificate Effective DateApril 24, 2025

Certificate Expiration DateApril 23, 2027

Laboratory DirectorDavid W. Eckert

Laboratory Phone(919) 825-4637

Laboratory LocationPersonalized Hematology Oncology Of Wake Forest, PLLC11635 North Park Drive, Suite 250 Suite 250, Wake Forest, NC 27587

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.

Family Medicine

11635 NORTH PARK DRIVE
WAKE FOREST, NC 27587

Wake County (919) 570-6060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personalized Hematology-Oncology Of Wake Forest PLLC's NPI number?

The NPI number for Personalized Hematology-Oncology Of Wake Forest PLLC is 1053679944. It was assigned to this organization in the NPPES registry on April 27, 2012.

Where is Personalized Hematology-Oncology Of Wake Forest PLLC located?

Personalized Hematology-Oncology Of Wake Forest PLLC is located at 11635 North Park Drive, Wake Forest, NC 27587. The listed phone number is (919) 556-2907.

What is Personalized Hematology-Oncology Of Wake Forest PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Personalized Hematology-Oncology Of Wake Forest PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2043480) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Personalized Hematology-Oncology Of Wake Forest PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Personalized Hematology-Oncology Of Wake Forest PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Personalized Hematology-Oncology Of Wake Forest PLLC was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.