Individual provider Active NPI

David Ismael Cabral, MD

  • Internal Medicine Physician
  • Hickory, NC
National Provider Identifier
1407031420
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
30 13TH Ave NW
Hickory, NC 28601-3765
Phone
(828) 324-0100
Fax
(828) 324-0101
NPI assigned
Jan 9, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

30 13TH Ave NW
Hickory, NC 28601-3765

Mailing address

30 13TH Ave NW
Hickory, NC 28601-3765
Phone (828) 324-0100

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
I20080222000492 NC Practitioner - Internal Medicine 5890879258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

711 Fairgrove Church Rd SE
Conover, NC 28613-8201
Phone (828) 855-3636

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00007NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabral Internal Medicine PLLC Internal Medicine CurrentSince May 24, 2010 Accepting new patients
Livanta Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Fryecare Physicians , LLC Internal Medicine Past Accepting new patients
Fryecare Physicians , LLC Past Accepting new patients

Locations

3521 Graystone Pl SE
Ste 109
Conover, NC 28613
Phone (828) 855-3636

711 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 855-3636

Interoperability endpoints

  • Direct secure messaging: david.cabral.1@2575.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2575/brand/1/csg/1/fhir/r4

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.

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1407031420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 13TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013765",
            "telephone_number": "828-324-0100",
            "fax_number": "828-324-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 13TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013765",
            "telephone_number": "828-324-0100",
            "fax_number": "828-324-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "DAVID",
        "middle_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.