Active NPI
Evan Ryan Restelli, D.O.
- Pulmonary Disease Physician
- Pollocksville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2015-00180
- Practice address
- 137 Medical LN
Pollocksville, NC 28573-8200 - Phone
- (252) 633-1010
- Fax
- (252) 224-3071
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2015-00180 | NC | Primary |
Addresses
Primary practice location
137 Medical LN
Pollocksville, NC 28573-8200
Mailing address
PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 633-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Philadelphia College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298
201 Williamsburg Pkwy
Jacksonville, NC 28546-6856
Phone (910) 353-4500
2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919
2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919
445 Western Blvd
Jacksonville, NC 28546-6845
Phone (252) 633-2712
532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712
906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone (252) 393-9007
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.61 of 100
- Quality
- 57.39
- Promoting interoperability
- 68
- Improvement activities
- 40
- Cost
- 77.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Physicians | Current | Accepting new patients | |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- New Bern, NC
- NPI 1104066794
-
- Internal Medicine Physician
- Pollocksville, NC
- NPI 1255632006
-
- Obstetrics & Gynecology Physician
- New Bern, NC
- NPI 1619868981
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Bern, NC
- NPI 1801852835
-
dba Carteret General Hospital
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1003923814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896206",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896206",
"telephone_number": "252-633-1010",
"fax_number": "252-224-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MEDICAL LN",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285738200",
"telephone_number": "252-633-1010",
"fax_number": "252-224-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTELLI",
"first_name": "EVAN",
"middle_name": "RYAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2015-00180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pollocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.