ATIF NASRULLAH
NPI 1710656558
Internal Medicine in Edenton, NC

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment
104 MARK DR, EDENTON, NC 27932(252) 482-5171 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2022, Sep 7, 2021 (2 updates tracked since 2021).

About Atif Nasrullah NPPES

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

ATIF NASRULLAH (NPI 1710656558) is an individual internal medicine provider in Edenton, North Carolina, licensed in North Carolina (2025-00687) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1710656558
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameATIF NASRULLAH
Location Address104 MARK DREdenton, NC 27932-1756
Mailing Address104 Mark DrEdenton, NC 27932-1756 · (252) 482-5171
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 7, 2021
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1710656558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2025-00687
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT224569 (PA)
104 MARK DR, Edenton, NC 27932

Secondary Practice Location 1

Location 1501 S Washington Ave, The Wright CenterScranton, PA 18505 · Phone (570) 507-3027

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 and accepts Medicare assignment

Atif Nasrullah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557735909
PECOS Enrollment IDI20250917000482
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341304
Location1403 S King StWindsor, NC 27983 · Bertie County
Emergency services

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine
104 MARK DR
EDENTON, NC 27932
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Internal Medicine
104 MARK DR
EDENTON, NC 27932

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 Atif Nasrullah's NPI number?

The NPI number for Atif Nasrullah is 1710656558. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Atif Nasrullah located?

Atif Nasrullah practices at 104 Mark Dr, Edenton, NC 27932. The listed phone number is (252) 482-5171.

What is Atif Nasrullah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atif Nasrullah enrolled in Medicare?

Yes. Atif Nasrullah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Atif Nasrullah accept?

Health plans from Blue Cross and Blue Shield of NC list Atif Nasrullah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Atif Nasrullah affiliated with any hospitals?

According to CMS data, Atif Nasrullah is affiliated with Ecu Health Medical Center, Sentara Albemarle Medical Center, Ecu Health Bertie Hospital and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Atif Nasrullah was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.