Individual provider Active NPI

Cristian Emanuil Pantea, M.D

  • Family Medicine Physician
  • Belmont, NC
National Provider Identifier
1104830165
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
209 Park St
Suite 100
Belmont, NC 28012-5205
Phone
(704) 671-7411
Fax
(704) 825-6985
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NC Primary

Addresses

Primary practice location

209 Park St
Suite 100
Belmont, NC 28012-5205

Mailing address

2240 Remount Rd
Gastonia, NC 28054-4725
Phone (704) 671-5311

Other identifiers 2

IdentifierTypeStateIssuer
5904499MedicaidNC
N0111BMedicaidSC

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
I20081031000400 NC Practitioner - Family Practice 3870527021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

4235 S New Hope Rd
Gastonia, NC 28056-8453

Hospital & facility affiliations

  • Atrium Health at Home Cleveland Home health agency, Shelby, NC, CCN 347013
  • Amedisys Home Health Care Home health agency, Gastonia, NC, CCN 347099
  • Adoration Home Health Home health agency, Gastonia, NC, CCN 347131
  • Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Caromont Medical Group Inc Family Medicine Past Accepting new patients

Locations

209 Park St
Ste 100
Belmont, NC 28012
Phone (704) 671-7411

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

4235 S New Hope Rd
Ste A
Gastonia, NC 28056
Phone (704) 825-4750

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1104830165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544725",
            "telephone_number": "704-671-5311",
            "fax_number": "704-671-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK ST",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125205",
            "telephone_number": "704-671-7411",
            "fax_number": "704-825-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTEA",
        "first_name": "CRISTIAN",
        "middle_name": "EMANUIL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904499",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0111B",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.