Individual provider Active NPI

Numan Gharaibeh, MD

  • Psychiatry Physician
  • High Point, NC
National Provider Identifier
1265428544
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018-2615 Issued in NC
Practice address
320 Boulevard St
High Point, NC 27262-3802
Phone
(336) 781-2189
Fax
(336) 787-6272
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 034960 CT
Psychiatry Physician 2084P0800X 2018-2615 NC Primary

Addresses

Primary practice location

320 Boulevard St
High Point, NC 27262-3802

Mailing address

320 Boulevard St
High Point, NC 27262-3802
Phone (336) 781-2189

Other practice location 1

1353 Gold Star Hwy
Groton, CT 06340-2739
Phone (860) 449-9947

Other identifiers 1

IdentifierTypeStateIssuer
D300083819OtherMEDICARE

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
I20200402002827 NC Practitioner - Psychiatry 3173593274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

320 Boulevard St
High Point, NC 27262-3802
Phone (336) 878-6226

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034960CTMDPsychiatry Physician
2018-2615NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Aug 19, 2024 Accepting new patients
University Physicians Healthcare Psychiatry Past Accepting new patients
Nuvance Health Medical Practice CT, Inc. Psychiatry Past Accepting new patients

Locations

320 Boulevard St
High Point, NC 27262
Phone (336) 781-2189

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: ngharaibeh2939760@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1265428544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623802",
            "telephone_number": "336-781-2189",
            "fax_number": "336-787-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623802",
            "telephone_number": "336-781-2189",
            "fax_number": "336-787-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Gold Star Hwy",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063402739",
            "country_code": "US",
            "telephone_number": "860-449-9947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHARAIBEH",
        "first_name": "NUMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "034960",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2018-2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D300083819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.