Individual provider Active NPI

Craig Mathew Zavelo, MD

  • Internal Medicine Physician
  • New Bern, NC
National Provider Identifier
1063467264
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34212 Issued in NC
Practice address
670 Cardinal Place
New Bern, NC 28562-5201
Phone
(252) 636-6222
Fax
(252) 636-5385
NPI assigned
May 24, 2006
Last updated
May 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34212 NC Primary
Pulmonary Disease Physician 207RP1001X 34212 NC

Addresses

Primary practice location

670 Cardinal Place
New Bern, NC 28562-5201

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 636-6222

Other identifiers 2

IdentifierTypeStateIssuer
89837OtherNCBCBS OF NC
8989837MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000883 NC Practitioner - Internal Medicine 1355307562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34212NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients
Coastal Carolina Health Care PA Internal Medicine Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Dec 1, 2004 Accepting new patients
Carolinaeast Medical Center Past Accepting new patients

Locations

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

670 Cardinal Rd
New Bern, NC 28562
Phone (252) 514-2061

702 Newman Rd
New Bern, NC 28562
Phone (252) 633-5333

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1063467264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-636-6222",
            "fax_number": "252-636-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CARDINAL PLACE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625201",
            "telephone_number": "252-636-6222",
            "fax_number": "252-636-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVELO",
        "first_name": "CRAIG",
        "middle_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "34212",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "34212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "89837",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989837",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.