NPIMap

Individual provider Active NPI

Maria Eugenia Iruela, M.D.

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1255376752
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29757 Issued in NC
Practice address
2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone
(336) 481-8655
Fax
(336) 277-9165
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 29757 NC
Internal Medicine Physician 207R00000X 29757 NC Primary

Addresses

Primary practice location

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1236 Guilford College Rd Ste 117
Jamestown, NC 27282-9875
Phone (336) 856-0801

Other identifiers 5

IdentifierTypeStateIssuer
080170773OtherNCRAIL ROAD MEDICARE
8945339MedicaidNC
45339OtherNCBCBSNC
01-08776OtherNCUNITED HEALTHCARE
22839OtherNCPARTNERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miruela244711@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000947 NC Practitioner - Geriatric MedicinePractitioner - Family Practice 6800781733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Duke University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLC 2,413 clinicians

Practice addresses (Care Compare)

1236 Guilford College Rd
Suite 117
Jamestown, NC 27282-9875
Phone (336) 856-0801

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Winston-Salem, NC, CCN 347187
  • Trellis Supportive Care Hospice, Winston Salem, NC, CCN 341502
  • Salemtowne Nursing home, Winston-Salem, NC, CCN 345479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29757NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC CurrentSince Sep 13, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2018 Accepting new patients
NH Digital Health Services, LLC Internal Medicine CurrentSince Sep 13, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine Past Accepting new patients
Novant Health Medical Group, LLC PastSince May 14, 2001 Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

108 Providence Rd
Charlotte, NC 28207
Phone (336) 277-3431

1236 Guilford College Rd
Ste 117
Jamestown, NC 27282
Phone (336) 856-0801

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1255376752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-481-8655",
            "fax_number": "336-277-9165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 Guilford College Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NC",
            "postal_code": "272829875",
            "country_code": "US",
            "telephone_number": "336-856-0801",
            "fax_number": "336-856-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRUELA",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "29757",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "29757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080170773",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945339",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "45339",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-08776",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "22839",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miruela244711@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1236 Guilford College Rd Ste 117",
            "city": "Jamestown",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272829875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.