Individual provider Active NPI

Evan S. Dellon, M.D., M.P.H.

  • Gastroenterology Physician
  • Chapel Hill, NC
National Provider Identifier
1609098623
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200400485 Issued in NC
Practice address
CB # 7080
Bioinformatics Building, 130 Mason Farm Road
Chapel Hill, NC 27599-7080
Phone
(919) 966-2511
Fax
(919) 966-3414
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200400485 NC Primary

Addresses

Primary practice location

CB # 7080
Bioinformatics Building, 130 Mason Farm Road
Chapel Hill, NC 27599-7080

Mailing address

CB # 7080
Bioinformatics Building, 130 Mason Farm Road
Chapel Hill, NC 27599-7080
Phone (919) 966-2511

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
I20070811000155 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 2365482338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Johns Hopkins University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514-4220

300 Meadowmont Village Cir
Chapel Hill, NC 27517-7518

430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400485NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2007 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2007 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

300 Meadowmont Village Cir
Ste 335
Chapel Hill, NC 27517
Phone (984) 974-5050

100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

Interoperability endpoints

  • Direct secure messaging: edellon31851@direct.unc.nchie.net

Organizations & group practices 3

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 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1609098623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CB # 7080",
            "address_2": "BIOINFORMATICS BUILDING, 130 MASON FARM ROAD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997080",
            "telephone_number": "919-966-2511",
            "fax_number": "919-966-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CB # 7080",
            "address_2": "BIOINFORMATICS BUILDING, 130 MASON FARM ROAD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997080",
            "telephone_number": "919-966-2511",
            "fax_number": "919-966-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLON",
        "first_name": "EVAN",
        "middle_name": "S.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200400485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.