FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA
NPI 1851427991
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fayetteville, NC

Active since February 25, 2007CLIA 34D0941094 · Waiver
105 ROXIE AVE, FAYETTEVILLE, NC 28304(910) 609-1880(910) 609-1836 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fayetteville Endocrinology And Diabetes Clinic Pa NPPES

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

FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA (NPI 1851427991) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Fayetteville, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Syed Asif Raza Rizvi, President, as its authorized official.

NPPES Registry Identity

NPI1851427991
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameFAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA
Location Address105 ROXIE AVEFayetteville, NC 28304-2123
Mailing AddressPo Box 87186Fayetteville, NC 28304-7186 · (910) 609-1880 · Fax (910) 609-1836
Fax(910) 609-1836
Organization SubpartNo
Authorized OfficialSyed Asif Raza RizviPresident · (910) 609-1880
Enumeration DateFebruary 25, 2007
Last NPPES UpdateDecember 20, 2007
✔ NPI 1851427991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 9401482
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
105 ROXIE AVE, Fayetteville, NC 28304

Other Identifiers 2

Medicare UPINGOO574
Medicare PIN2209506ANC

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fayetteville Endocrinology And Diabetes Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fayetteville Endocrinology And Diabetes Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1972639003
1001 W WILLIAMS ST SUITE 102
Apex, NC 27502
(919) 363-7576
✔ PECOS48 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0941094

Fayetteville Endocrinology & Diabetes · Fayetteville, NC
Active · expires Dec 14, 2027
CLIA Number34D0941094
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorSyed Asif R. Rizvi
Laboratory Phone(910) 609-1880
Laboratory LocationFayetteville Endocrinology & Diabetes105 Roxie Avenue, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fayetteville Endocrinology And Diabetes Clinic PA's NPI number?

The NPI number for Fayetteville Endocrinology And Diabetes Clinic PA is 1851427991. It was assigned to this organization in the NPPES registry on February 25, 2007.

Where is Fayetteville Endocrinology And Diabetes Clinic PA located?

Fayetteville Endocrinology And Diabetes Clinic PA is located at 105 Roxie Ave, Fayetteville, NC 28304. The listed phone number is (910) 609-1880.

What is Fayetteville Endocrinology And Diabetes Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Fayetteville Endocrinology And Diabetes Clinic PA enrolled in Medicare?

Yes. Fayetteville Endocrinology And Diabetes Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fayetteville Endocrinology And Diabetes Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Fayetteville Endocrinology And Diabetes Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fayetteville Endocrinology And Diabetes Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0941094) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fayetteville Endocrinology And Diabetes Clinic PA accept?

Health plans from Blue Cross and Blue Shield of NC list Fayetteville Endocrinology And Diabetes Clinic PA 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.

When was this NPI record last updated?

The NPPES record for Fayetteville Endocrinology And Diabetes Clinic PA was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.