Active NPI
Mariely Castellanos Nouel, M.D.
- Internal Medicine Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2012-01995
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-01995 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Internal Medicine | Current | 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
- 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.
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
dba FryeCare Internal Medicine Hickory
- Internal Medicine Physician
- Hickory, NC
- NPI 1922547793
-
dba FryeCare Family Medicine Watauga
- Family Medicine Physician
- Boone, NC
- NPI 1083152961
-
dba FryeCare Cardiology Associates
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1093253205
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
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
- William Cartwright
- Donna Lea Carver, MA, LCMHC, LCAS
- Jennifer McLean Carver, COTA
- Casa Bloom LLC
- Anna Zirbel Case
- Catawba County Department of Public Health
- Catawba County DSS (Andrea's Place)
- Catawba County Office of Accountant (Family NET-Catawba Valley Choices)
- Catawba County Office of Accountant (Family N.E.T. of Catawba County)
- Catawba County Office of Accountant (Family NET of Catawba County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.