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FRANK CAI MD
NPI 1467039941
Internal Medicine - Rheumatology in Durham, NC

Active since March 29, 2021PECOS Enrolled
40 DUKE MEDICINE CIR # 1J, DURHAM, NC 27710(919) 613-2243 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 18, 2026, May 24, 2021, Mar 29, 2021 (3 updates tracked since 2021).

About Frank Cai Md NPPES

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

FRANK CAI MD (NPI 1467039941) is an individual rheumatology provider in Durham, North Carolina, licensed in North Carolina (2026-02601) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467039941
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameFRANK CAICredential: MD
Location Address40 DUKE MEDICINE CIR # 1JDurham, NC 27710-4000
Mailing Address40 Duke Medicine Cir # 1jDurham, NC 27710-4000
Phone(919) 613-2243
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1467039941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 2026-02601
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
40 DUKE MEDICINE CIR # 1J, Durham, NC 27710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frank Cai Md 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 Billing Reassignments

2

Medicare enrollment records show Frank Cai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.
Same address
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855
Duke University Health System, Inc.
0.4 mi
Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1376574798 (North Carolina)
  • 1,503 clinicians in this Medicare group
NPI 1497912232 (919) 684-0100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Frank Cai's NPI number?

The NPI number for Frank Cai is 1467039941. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Frank Cai located?

Frank Cai practices at 40 Duke Medicine Cir # 1J, Durham, NC 27710. The listed phone number is (919) 613-2243.

What is Frank Cai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Frank Cai enrolled in Medicare?

Yes. Frank Cai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Frank Cai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frank Cai reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Durham, NC) and Duke University Health System, Inc. (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frank Cai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Frank Cai was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.