Adrian Alexander Mancheno Revelo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

172999 Issued in NC

Practice address

1214 Vaughn Rd
1 St Floor
Burlington, NC 27217-2863

Phone

(919) 537-7473

NPI assigned

Jun 27, 2011

Last updated

Aug 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Health Services IncGroup PAC ID 3476462102, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Piedmont Health Services, Inc.

  dba Carrboro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  Medicare reassignment Care Compare group NPD
• Piedmont Health Services, Inc.

  dba Scott Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Burlington, NC
  • NPI 1013014596
  NPD
• Piedmont Health Services, Inc.

  dba Piedmont Efland School Based Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
  • NPI 1528817590
  NPD
• Piedmont Health Services, Inc.

  dba Chapel Hill Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chapel Hill, NC
  • NPI 1376361204
  NPD (past)

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

• University of North Carolina Hospitals at Chapel Hill

  dba UNC Hospitals

  • General Acute Care Hospital
  • Chapel Hill, NC
  • NPI 1932208576
  Care Compare affiliation

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1255627477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CLARENDON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053511",
            "telephone_number": "828-551-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 VAUGHN RD",
            "address_2": "1 ST FLOOR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172863",
            "telephone_number": "919-537-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHENO REVELO",
        "first_name": "ADRIAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "172999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Malinda, MD
• Ajaychandra Reddy Malladi, M.D
• Johntavis Lamar Mallary, PT
• Dionne Aaliyah Malone
• Nancy J Maloney, MD
• Monique Lohmeyer Maness, LCSWA
• Bradley F. Mann, M.P.T.
• Kimberly Anne Mann, DPT
• Robin Kecia Mann
• Shanga Manning

• Family Medicine Physician in Burlington, NC
• Providers in Burlington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.