Individual provider Active NPI

Carl Trinidad Lomboy, M.D.

  • Cardiovascular Disease Physician
  • Anderson, SC
National Provider Identifier
1417919101
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36761 Issued in NC
Practice address
100 Perpetual SQ
Anderson, SC 29621-1713
Phone
(864) 261-7474
Fax
(864) 261-8581
NPI assigned
Apr 6, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36761 NC Primary

Addresses

Primary practice location

100 Perpetual SQ
Anderson, SC 29621-1713

Mailing address

100 Perpetual SQ
Anderson, SC 29621-1713
Phone (864) 261-7474

Other identifiers 4

IdentifierTypeStateIssuer
52539OtherNCBCBS OF NC PROVIDER ID#
Q36761MedicaidSC
8952539MedicaidNC
P00869101OtherSCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100820000704 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719910231 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Cardiology Associates PLLC Cardiovascular Disease Current Accepting new patients
Anmed Health CurrentSince Jul 16, 2010 Accepting new patients
Anmed Health Cardiovascular Disease CurrentSince Jul 16, 2010 Accepting new patients
Anmed Health Current Accepting new patients
Piedmont Rheumatology, P.a. Past Accepting new patients

Locations

1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: clomboy10770@direct.anmedhealth.net

Organizations & group practices 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1417919101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERPETUAL SQ",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211713",
            "telephone_number": "864-261-7474",
            "fax_number": "864-261-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERPETUAL SQ",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211713",
            "telephone_number": "864-261-7474",
            "fax_number": "864-261-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBOY",
        "first_name": "CARL",
        "middle_name": "TRINIDAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "36761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER ID#",
            "identifier": "52539",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q36761",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952539",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00869101",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.