DR. CAMILLE NINA IMMANUEL MD MHS
NPI 1295021483
Pediatrics - Pediatric Critical Care Medicine in Durham, NC

Active since June 26, 2011PECOS Enrolled
71.01/100
CMS Quality Rating
4100 COBSCOOK DR, DURHAM, NC 27707(276) 451-4700(276) 451-4700 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Camille Nina Immanuel Md Mhs NPPES

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

DR. CAMILLE NINA IMMANUEL MD MHS (NPI 1295021483) is an individual pediatric critical care medicine provider in Durham, North Carolina, licensed in Utah (10549592-1205) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295021483
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. CAMILLE NINA IMMANUELCredential: MD MHS
Location Address4100 COBSCOOK DRDurham, NC 27707-5706
Mailing Address42 Sycamore Rd, Apt CClifton, NJ 07012-7330 · (276) 451-4700
Fax(276) 451-4700
Sole ProprietorNo
Enumeration DateJune 26, 2011
Last NPPES UpdateFebruary 1, 2018
NPI 1295021483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in UT · 10549592-1205
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 39 (NJ)
4100 COBSCOOK DR, Durham, NC 27707

Other Identifiers 1

Other#39NJ · Student & Education

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Camille Nina Immanuel Md Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295021483, enumerated as an "individual" on June 26, 2011.

The provider is located at 4100 COBSCOOK DR DURHAM, NC 27707 and the phone number is (276) 451-4700.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Sendero. Please consult your insurance carrier or call the provider to verify.