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DR. TARA KOPP BASTEK M.D.
NPI 1316956774
Pediatrics - Neonatal-Perinatal Medicine in Raleigh, NC

Active since August 05, 2006PECOS Enrolled
3000 NEW BERN AVE, NEONATOLOGY DEPT., RALEIGH, NC 27610(919) 350-8545(919) 350-8146 Get Directions Write a Review

NPPES record last updated: March 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tara Kopp Bastek M.d. NPPES

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

DR. TARA KOPP BASTEK M.D. (NPI 1316956774) is an individual neonatal-perinatal medicine provider in Raleigh, North Carolina, licensed in North Carolina (9900162) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316956774
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. TARA KOPP BASTEKCredential: M.D.
Location Address3000 NEW BERN AVE, NEONATOLOGY DEPT.Raleigh, NC 27610-1231
Mailing Address3024 New Bern Ave, Suite 300Raleigh, NC 27610-1247 · (919) 350-8228 · Fax (919) 350-7976
Phone(919) 350-8545
Fax(919) 350-8146
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 12, 2010
✔ NPI 1316956774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 9900162
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 9900162 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610
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Other Names 1

Former Name (1)Tara Kopp

Other Identifiers 3

Medicare UPING99433
Medicaid891203CNC
Medicare ID-Type Unspecified2033507NC

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. Tara Kopp Bastek M.d. 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.

Other Providers at the Same Location NPPES 20

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

GEORGE RAYBURN CHEELY M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. CHARLES A MANGANO JR. M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. VIRGIL H WYNIA M.D.
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. AMARENDRA B REDDY M.D.
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. MICHAEL JAY ZELLINGER M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253
DR. JAMES TIFT MANN III M.D.
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253
DR. JAMES ROBERT FOSTER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253
DR. ROBERT BENJAMIN WESLEY II M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253

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 Tara Bastek's NPI number?

The NPI number for Tara Bastek is 1316956774. It was assigned to this individual provider in the NPPES registry on August 5, 2006. The provider is also known as Tara Kopp.

Where is Tara Bastek located?

Tara Bastek practices at 3000 New Bern Ave Neonatology Dept., Raleigh, NC 27610. The listed phone number is (919) 350-8545.

What is Tara Bastek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tara Bastek enrolled in Medicare?

Yes. Tara Bastek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Bastek was last updated on March 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.