NPIMap

Individual provider Active NPI

Michael E. Dilello, PA-C, ATC-L

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1447213715
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101169 Issued in NC
Practice address
1991 Fordham Drive
Suite 100
Fayetteville, NC 28304
Phone
(910) 484-3114
Fax
(910) 484-8824
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101169 NC Primary

Addresses

Primary practice location

1991 Fordham Drive
Suite 100
Fayetteville, NC 28304

Mailing address

PO Box 87089
Fayetteville, NC 28304-7089
Phone (910) 484-3114

Other practice location 1

300 E McKay St Ste E
Elizabethtown, NC 28337-9037
Phone (910) 862-1224

Other identifiers 1

IdentifierTypeStateIssuer
0314090001OtherNCMEDICARE DMERC JURISDICTION C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000461 NC Practitioner - Physician Assistant 6901967363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

1991 Fordham Dr
Fayetteville, NC 28304-3774

300 E McKay St
Suite E
Elizabethtown, NC 28337-9037
Phone (910) 862-1224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 29, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Physician Assistant Current Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

300 E McKay St
#E
Elizabethtown, NC 28337
Phone (910) 737-6600

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1991 Fordham Dr
Ste 100
Fayetteville, NC 28304
Phone (910) 484-3114

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

Interoperability endpoints

  • Direct secure messaging: mdilello80227@capefearvalley.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1447213715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87089",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047089",
            "telephone_number": "910-484-3114",
            "fax_number": "910-484-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DRIVE",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-484-3114",
            "fax_number": "910-484-8824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E McKay St Ste E",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-862-1224",
            "fax_number": "910-862-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILELLO",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "PA-C, ATC-L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC JURISDICTION C",
            "identifier": "0314090001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.