Individual provider Active NPI

Michael George Ribadeneyra, MD

  • Internal Medicine Physician
  • Shelby, NC
National Provider Identifier
1194718528
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9900660 Issued in NC
Practice address
711 N Dekalb St
Shelby, NC 28150-3911
Phone
(704) 482-1482
Fax
(704) 480-6012
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9900660 NC Primary

Addresses

Primary practice location

711 N Dekalb St
Shelby, NC 28150-3911

Mailing address

711 N Dekalb St
Shelby, NC 28150-3911
Phone (704) 482-1482

Other identifiers 1

IdentifierTypeStateIssuer
8912276MedicaidNC

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
I20051103000958 NC Practitioner - Internal Medicine 0648298034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shelby Medical Associates PAGroup PAC ID 2961482435, 9 clinicians

Practice addresses (Care Compare)

711 N Dekalb St
Shelby, NC 28150-3911
Phone (704) 482-1482

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
  • Atrium Health at Home Cleveland Home health agency, Shelby, NC, CCN 347013
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Cleveland County Healthcare System Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 1, 2015 Accepting new patients
Shelby Medical Associates, PA CurrentSince Sep 1, 1999 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 1, 2015 Accepting new patients

Locations

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

711 N DeKalb St
Shelby, NC 28150
Phone (704) 482-1482

Interoperability endpoints

  • Direct secure messaging: michael.ribadeneyra@smap.eclinicaldirectplus.com

Organizations & group practices 6

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 4

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1194718528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503911",
            "telephone_number": "704-482-1482",
            "fax_number": "704-480-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503911",
            "telephone_number": "704-482-1482",
            "fax_number": "704-480-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBADENEYRA",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9900660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912276",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.