Active NPI
Taras Nebeluk, D.O
- Infectious Disease Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 3727
- Practice address
- 3200 Maccorkle Ave SE
Charleston, WV 25304-1227 - Phone
- (304) 340-1651
- NPI assigned
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 312210 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | 3727 | WV | Primary |
Addresses
Primary practice location
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Mailing address
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 340-1651
Other practice location 1
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 296-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2495224 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 682-7480
Hospital & facility affiliations
- Amedisys Home Health of Bluffton
- Centerwell Home Health
- Novant Health Hilton Head Medical Center
- Coastal Carolina Hospital
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3727 | WV | MD | Infectious Disease Physician |
| 312210 | LA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Hilton Head Heart PA | Past | Accepting new patients |
Locations
75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523
75 Baylor Dr
Ste 205
Bluffton, SC 29910
Phone (843) 706-2255
8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
Interoperability endpoints
- taras.nebeluk.1@30548.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bluffton, SC
- NPI 1548021694
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Surgery Physician
- Bluffton, SC
- NPI 1295596708
-
- Cardiovascular Disease Physician
- Hilton Head, SC
- NPI 1982655379
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Home Health Agency
- Bluffton, SC
- NPI 1215110226
-
- Home Health Agency
- Walterboro, SC
- NPI 1407221401
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1477914661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-340-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-340-1651"
}
],
"practiceLocations": [
{
"address_1": "5001 Hardy St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394021308",
"country_code": "US",
"telephone_number": "601-296-3963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEBELUK",
"first_name": "TARAS",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-15",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": "312210",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WV",
"license": "3727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2495224",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.