Individual provider Active NPI

Diego Fernando Pabon, M.D.

  • Surgery Physician
  • Burlington, NC
National Provider Identifier
1104945864
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LL 27894 Issued in SC
Practice address
1041 Kirkpatrick Rd Ste 150
Burlington, NC 27215-8068
Phone
(336) 538-1888
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2012-01261 NC
Surgery Physician 208600000X LL 27894 SC Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd Ste 150
Burlington, NC 27215-8068

Mailing address

2915 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone (336) 765-5221

Other practice location 1

2915 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone (336) 765-5221

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dpabon291554@direct.novanthealth.org
Direct Messaging Address dpabon334288@direct.conehealth.com Direct

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
I20120825000001 NC Practitioner - General Surgery 6901053057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

3940 Arrowhead Blvd
Suite 230
Mebane, NC 27302-7637
Phone (919) 304-1081

Hospital & facility affiliations

  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-01261NCMDSurgery Physician
LL 27894SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Surgery Current Accepting new patients
DLP Rutherford Physician Practices LLC Surgery CurrentSince Jun 1, 2014 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Cornerstone Medical Center, PA Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Apr 1, 2019 Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince Jun 1, 2014 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients
DLP Rutherford Physician Practices LLC Past Accepting new patients

Locations

1041 Kirkpatrick Rd
Ste 150
Burlington, NC 27215
Phone (336) 538-1888

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3940 Arrowhead Blvd
Ste 230
Mebane, NC 27302
Phone (336) 227-2761

1818 Richardson Dr
Ste E
Reidsville, NC 27320
Phone (336) 634-0095

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

330 NC 108 Hwy
Rutherfordton, NC 28139
Phone (828) 286-1743

Interoperability endpoints

  • Direct secure messaging: dpabon291554@direct.novanthealth.org
  • Direct secure messaging: dpabon334288@direct.conehealth.com

Organizations & group practices 8

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 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1104945864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 LYNDHURST AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034005",
            "telephone_number": "336-765-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD STE 150",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158068",
            "telephone_number": "336-538-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 Lyndhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034005",
            "country_code": "US",
            "telephone_number": "336-765-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABON",
        "first_name": "DIEGO",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-08-25",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2012-01261",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL 27894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpabon291554@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2915 Lyndhurst Ave",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271034005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpabon334288@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1041 Kirkpatrick Rd Ste 150",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.