Individual provider Active NPI

Ariana Pancaldo, M.D.

  • Family Medicine Physician
  • Carrboro, NC
National Provider Identifier
1235286733
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39052 Issued in NC
Practice address
610 Jones Ferry Rd
Ste 102
Carrboro, NC 27510-6113
Phone
(919) 929-1747
Fax
(919) 933-5168
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

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 39052 NC Primary

Addresses

Primary practice location

610 Jones Ferry Rd
Ste 102
Carrboro, NC 27510-6113

Mailing address

610 Jones Ferry Rd
Ste 102
Carrboro, NC 27510-6113
Phone (919) 929-1747

Other identifiers 1

IdentifierTypeStateIssuer
8965428MedicaidNC

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
I20100206000224 NC Practitioner - Family Practice 0749323186 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39052NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carrboro Family Medicine Center, PA Family Medicine CurrentSince Mar 1, 2018 Accepting new patients

Locations

610 Jones Ferry Rd
Ste 102
Carrboro, NC 27510
Phone (919) 929-1747

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1235286733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JONES FERRY RD",
            "address_2": "STE 102",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106113",
            "telephone_number": "919-929-1747",
            "fax_number": "919-933-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 JONES FERRY RD",
            "address_2": "STE 102",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106113",
            "telephone_number": "919-929-1747",
            "fax_number": "919-933-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCALDO",
        "first_name": "ARIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "39052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965428",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.