OPTUM MEDICAL SERVICES P.C. NPI 1093083289

NPI Information

  • NPI: 1093083289
  • Provider Name: OPTUM MEDICAL SERVICES, P.C.
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 150 FAYETTEVILLE ST
    BOX 1011
    RALEIGH, NC
    ZIP 27601
  • Phone: (952) 917-7217

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NPI Details

OPTUM MEDICAL SERVICES, P.C. is a preferred provider organization in Raleigh, NC. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. OPTUM MEDICAL SERVICES, P.C. NPI is 1093083289. The provider is registered as an organization entity type.

The provider's business location address is:

150 FAYETTEVILLE ST
BOX 1011
RALEIGH, NC
ZIP 27601-395
Phone: (952) 917-7217

The provider's authorized official is Kirk M Stanley .
The authorized official title is Chief Operating Officer and has the following contact phone number (615) 523-5572.

The enumeration date for this NPI number is 12/2/2011 and was last updated on 12/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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