Individual provider Active NPI

Julio Arebalo, M.D.

  • Surgery Physician
  • Columbus, TX
National Provider Identifier
1447284443
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD20717 Issued in ME
Practice address
1860 Highway 71 S
Columbus, TX 78934-2816
Phone
(979) 732-6552
Fax
(979) 732-2056
NPI assigned
Jul 10, 2006
Last updated
Jun 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J8889 TX
Surgery Physician 208600000X MD20717 ME Primary

Addresses

Primary practice location

1860 Highway 71 S
Columbus, TX 78934-2816

Mailing address

1860 Highway 71 S
Columbus, TX 78934-2816
Phone (979) 732-6552

Other identifiers 2

IdentifierTypeStateIssuer
039131002MedicaidTX
P00185146OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106000025 ME Practitioner - General Surgery 0345132775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

274 Caribou Lake Rd
Caribou, ME 04736-4264

PO Box
Suite 40
Caribou, ME 04736-0040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Caribou CurrentSince Mar 4, 2020 Accepting new patients
Pines Health Services CurrentSince Jan 1, 2015 Accepting new patients
Pines Health Services Surgery CurrentSince Jan 1, 2015 Accepting new patients

Locations

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

Interoperability endpoints

  • Direct secure messaging: jarebalo376973@direct.ochin.org

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 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1447284443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HIGHWAY 71 S",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789342816",
            "telephone_number": "979-732-6552",
            "fax_number": "979-732-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 HIGHWAY 71 S",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789342816",
            "telephone_number": "979-732-6552",
            "fax_number": "979-732-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREBALO",
        "first_name": "JULIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J8889",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD20717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039131002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00185146",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

Verify at the official NPI Registry.