Individual provider Active NPI

Ma Elizabeth Dionisio Cengia, M.D.

  • Pediatrics Physician
  • Winston Salem, NC
National Provider Identifier
1275899981
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2015-00490 Issued in NC
Practice address
5110 Robinhood Village Dr Ste C-1
Suite C-1
Winston Salem, NC 27106-9825
Phone
(336) 277-7030
Fax
(336) 277-7040
NPI assigned
Apr 6, 2012
Last updated
Jan 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 2015-00490 NC Primary

Addresses

Primary practice location

5110 Robinhood Village Dr Ste C-1
Suite C-1
Winston Salem, NC 27106-9825

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other names 1

  • Maria Elizabeth Diokno Dionisio Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCENGIA250068@DIRECT.NOVANTHEALTH.ORG

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
I20230711001730 NC Practitioner - Pediatric Medicine 3577876283 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00490NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 29, 2023 Accepting new patients
Novant Health Medical Group LLC Pediatrics CurrentSince May 29, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1275899981",
    "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": "5110 ROBINHOOD VILLAGE DR STE C-1",
            "address_2": "SUITE C-1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069825",
            "telephone_number": "336-277-7030",
            "fax_number": "336-277-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENGIA",
        "first_name": "MA ELIZABETH",
        "middle_name": "DIONISIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2015-00490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCENGIA250068@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "5110 Robinhood Village Dr Ste C-1",
            "address_2": "Suite C-1",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271069825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA ELIZABETH",
            "last_name": "DIONISIO",
            "middle_name": "DIOKNO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.