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NORTH CAROLINA NEPHROLOGY PA
NPI 1508360462
Internal Medicine - Nephrology in Raleigh, NC

Active since March 23, 2018
3604 BUSH ST FL 2, RALEIGH, NC 27609(919) 876-7807(919) 876-8823 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Carolina Nephrology Pa NPPES

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

NORTH CAROLINA NEPHROLOGY PA (NPI 1508360462) is a healthcare organization registered as a nephrology in Raleigh, North Carolina and active in the NPI registry since March 2018. The organization lists Jennifer Capps, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1508360462
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTH CAROLINA NEPHROLOGY PA
Location Address3604 BUSH ST FL 2Raleigh, NC 27609-7511
Mailing Address3031 New Bern Ave Ste 306Raleigh, NC 27610-2989 · (919) 231-3966 · Fax (919) 231-3912
Phone(919) 876-7807
Fax(919) 876-8823
Organization SubpartNo
Authorized OfficialJennifer CappsBilling Manager · (919) 459-8409
Enumeration DateMarch 23, 2018
✔ NPI 1508360462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3604 BUSH ST FL 2, Raleigh, NC 27609
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Carolina Nephrology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to North Carolina Nephrology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nephrology28
Nurse Practitioner19
Vascular Surgery5
Internal Medicine4
Family Practice2
Hospice/Palliative Care1

Nearest to this location (20)

See all 59
Michael Monahan, M.D.
Nephrology
NPI 1447238480
3604 BUSH ST 2ND FLOOR
Raleigh, NC 27609
(919) 876-7807
✔ PECOSSame address
Mark Rothman, M.D.
Nephrology
NPI 1891774840
3604 BUSH ST 2ND FLOOR
Raleigh, NC 27609
(919) 876-7807
✔ PECOSSame address
Rosanne Harnois, AGNP
Nurse Practitioner
NPI 1225492788
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Michael Casey, M.D.
Nephrology
NPI 1003894056
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Shannon Clark, AGNP RN
Nurse Practitioner
NPI 1508299777
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Dustin Coats, FNP-C
Nurse Practitioner
NPI 1922710656
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Edeliza David, NP
Nurse Practitioner
NPI 1356379358
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
William Fan, M.D.
Nephrology
NPI 1902884000
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Shannon Frey, FNP-C
Nurse Practitioner
NPI 1720691298
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Raymond Geherty, MD
Nephrology
NPI 1609238526
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Anne Harris, DNP, FNP-C
Nurse Practitioner
NPI 1538906466
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Akhil Hegde, M.D.
Nephrology
NPI 1164742938
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Francis Hobbs, NP
Nurse Practitioner
NPI 1386135838
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Racquel Holmes
Internal Medicine
NPI 1801250352
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Carolyn Hull, NP
Nurse Practitioner
NPI 1578956058
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
So Yoon Jang, M.D.
Nephrology
NPI 1295951036
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Sammy Moghazi, M.D.
Nephrology
NPI 1215915269
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Rushi Nayak, M.D.
Nephrology
NPI 1033413760
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Joseph Ruberwa
Internal Medicine
NPI 1508360215
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare1.3 mi
Ellen Dillavou, MD
Vascular Surgery
NPI 1932172442
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts Medicare3.6 mi
See all 59 clinicians

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

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 North Carolina Nephrology PA's NPI number?

The NPI number for North Carolina Nephrology PA is 1508360462. It was assigned to this organization in the NPPES registry on March 23, 2018.

Where is North Carolina Nephrology PA located?

North Carolina Nephrology PA is located at 3604 Bush St Fl 2, Raleigh, NC 27609. The listed phone number is (919) 876-7807.

What is North Carolina Nephrology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is North Carolina Nephrology PA enrolled in Medicare?

Yes. North Carolina Nephrology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Carolina Nephrology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 6 Medicare specialties reassign their Medicare billing to North Carolina Nephrology PA. A 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 the clinician's services. The largest specialties are Nephrology (28), Nurse Practitioner (19) and Vascular Surgery (5). Of these, 2 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Carolina Nephrology PA was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.