Individual provider

Gregory Duellman, D.O.

Diagnostic Radiology Physician Medicare enrolled

Gregory Duellman, D.O. is a Diagnostic Radiology Physician in Charlotte, NC, registered under NPI 1417029455. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 14121 LISSADELL CIR, Charlotte, NC 28277. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

14121 LISSADELL CIR, Charlotte, NC 28277 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
34.008149 OH Diagnostic Radiology Physician primary
2007-00979 NC Diagnostic Radiology Physician

Licences are recorded in 2 states: OH, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
7315988631

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: North Carolina and Ohio. The practice address on file is in Charlotte, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina practice address
Licence
2007-00979
Specialty
Diagnostic Radiology Physician
Verify with the NC board →
OH Ohio
Licence
34.008149
Specialty
Diagnostic Radiology Physician
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Diagnostic Radiology covers

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 34.008149 OH primary
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 2007-00979 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417029455 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 14, 2006
Last updatedJun 20, 2019
StatusActive
Sole proprietorYes
CredentialD.O.
Practice address 14121 LISSADELL CIR
Charlotte, NC 28277
(704) 975-9730
Mailing address 336 BURTONWOOD DR
Gastonia, NC 28054
The last update on file is Jun 20, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417029455 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 0 2 9 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 0 2 9 4 1

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417029455?
NPI 1417029455 is the National Provider Identifier assigned to Gregory Duellman, D.O. in Charlotte, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Diagnostic Radiology cover?
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
How do I contact Gregory Duellman, D.O.?
The phone number on file with NPPES is (704) 975-9730, last updated Jun 20, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Gregory Duellman, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417029455 a valid number?
Yes. 1417029455 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.