WAKEMED MATERNAL FETAL MEDICINE
NPI 1336550375
Obstetrics & Gynecology - Maternal & Fetal Medicine in Raleigh, NC

NPI Status: Active since May 13, 2014

Contact Information

3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-6002
Fax: (919) 350-6003

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  • Organization
  • Obstetrics & Gynecology
  • Maternal & Fetal Medicine
  • Accepts Insurance
  • CLIA Number: 34D2130284
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-21-2026

About WAKEMED MATERNAL FETAL MEDICINE

This page provides the complete NPI Profile along with additional information for Wakemed Maternal Fetal Medicine, a women's health care provider established in Raleigh, North Carolina operating as a Obstetrics & Gynecology, focusing in maternal & fetal medicine . The healthcare provider is registered in the NPI registry with number 1336550375 assigned on May 2014. The practitioner's primary taxonomy code is 207VM0101X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Wakemed Maternal Fetal Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Wakemed Maternal Fetal Medicine. The authorized official of this NPI record is Maria Jayoussi (Executive Director Finance)

NPI
1336550375
Provider Legal Name
WAKE SPECIALTY PHYSICIANS, LLC
Other Organization Name
WAKEMED MATERNAL FETAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3024 NEW BERN AVE RALEIGH, NC 27610
Location Phone
(919) 350-6002
Location Fax
(919) 350-6003
Mailing Address
PO BOX 602195 CHARLOTTE, NC 28260
Mailing Phone
(919) 350-0552
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2014
Last Update Date
09-12-2016
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Women's health care providers like Wakemed Maternal Fetal Medicine treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology Maternal & Fetal Medicine

Taxonomy Code
207VM0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

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:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - 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
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • 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
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

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

MARIA JAYOUSSI

Authorized Official Title
EXECUTIVE DIRECTOR FINANCE
Authorized Official Phone
(919) 350-6089

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
1942440375MEDICAID (05)NC 
2347332MEDICARE PIN (08)NC 

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
34D2130284
Facility Type
Physician Office
Certificate Effective Date
January 22, 2024
Certificate Expiration Date
January 21, 2026
Laboratory Director
CARMEN JE VONNE BEAMON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wakemed Maternal Fetal Medicine 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 WAKEMED MATERNAL FETAL MEDICINE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336550375, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 0 + 5 + 0 + 3 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1336550375.

Other Providers at the Same Location


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

Pediatrics
3024 NEW BERN AVE
RALEIGH, NC 27610
Surgery
3024 NEW BERN AVE, SUITE 300
RALEIGH, NC 27610
Specialist
3024 NEW BERN AVE, ANDREWS CENTER, SUITE 307
RALEIGH, NC 27610
Internal Medicine
3024 NEW BERN AVE, SUITE 301 - INTERNAL MEDICINE
RALEIGH, NC 27610
Pediatrics
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Pediatrics
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Family Medicine
3024 NEW BERN AVE, SUITE 301 - INTERNAL MEDICINE
RALEIGH, NC 27610
Otolaryngology
3024 NEW BERN AVE, SUITE 200 - ENT
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE, SUITE 306 - OB/GYN
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE, SUITE 306 - OB/GYN
RALEIGH, NC 27610
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3024 NEW BERN AVE, SUITE 306 - OB/GYN
RALEIGH, NC 27610
Clinical Nurse Specialist
3024 NEW BERN AVE, SUITE 301 - INTERNAL MEDICINE
RALEIGH, NC 27610
Nurse Practitioner (Family)
3024 NEW BERN AVE, SUITE 306 - OB/GYN
RALEIGH, NC 27610
Surgery
3024 NEW BERN AVE, SUITE 304 - SURGERY / TRAUMA
RALEIGH, NC 27610
Audiologist
3024 NEW BERN AVE
RALEIGH, NC 27610
Audiologist
3024 NEW BERN AVE
RALEIGH, NC 27610
Audiologist
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner (Women's Health)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336550375, enumerated as an "organization" on May 13, 2014.

The provider is located at 3024 NEW BERN AVE RALEIGH, NC 27610 and the phone number is (919) 350-6002.

Obstetrics & Gynecology with taxonomy code 207VM0101X and a focus in Maternal & Fetal Medicine.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.