Individual provider Active NPI

Mariely Castellanos Nouel, M.D.

  • Internal Medicine Physician
  • Hickory, NC
National Provider Identifier
1649506494
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2012-01995 Issued in NC
Practice address
915 Tate Blvd SE
Suite 186
Hickory, NC 28602-4042
Phone
(828) 449-8458
Fax
(828) 323-8348
NPI assigned
Oct 29, 2009
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29829 AL
Internal Medicine Physician 207R00000X 2012-01995 NC Primary

Addresses

Primary practice location

915 Tate Blvd SE
Suite 186
Hickory, NC 28602-4042

Mailing address

915 Tate Blvd SE
Suite 186
Hickory, NC 28602-4042
Phone (828) 449-8458

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
I20130717000769 NC Practitioner - Internal Medicine 0648313924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

915 Tate Blvd SE
Hickory, NC 28602-4042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-01995NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
DLP Frye Medical Group LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
DLP Frye Medical Group LLC Past Accepting new patients
DLP Frye Medical Group LLC Past Accepting new patients

Locations

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

Interoperability endpoints

  • Direct secure messaging: mariely.castellanos-nou.1@15786.direct.athenahealth.com

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 2

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1649506494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE",
            "address_2": "SUITE 186",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-449-8458",
            "fax_number": "828-323-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE",
            "address_2": "SUITE 186",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-449-8458",
            "fax_number": "828-323-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS NOUEL",
        "first_name": "MARIELY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "29829",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-01995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.