Individual provider Active NPI

Alan Velez Jubane, MD

  • Family Medicine Physician
  • Shelby, NC
National Provider Identifier
1710965322
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701430 Issued in NC
Practice address
808 Schenck St
Shelby, NC 28150-3934
Phone
(704) 480-9344
Fax
(704) 484-3260
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701430 NC Primary

Addresses

Primary practice location

808 Schenck St
Shelby, NC 28150-3934

Mailing address

808 Schenck St
Shelby, NC 28150-3934
Phone (704) 480-9344

Other identifiers 1

IdentifierTypeStateIssuer
891081WMedicaidNC

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
I20091210000361 NC Practitioner - Family Practice 8224178934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince May 10, 2022 Accepting new patients
Gaston Family Health Services, Inc CurrentSince May 10, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Gaston Family Health Services, Inc. PastSince Jan 29, 2023 Accepting new patients

Locations

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

812 W King St
Kings Mtn, NC 28086
Phone (704) 480-9344

1760 E Dixon Blvd
Shelby, NC 28152
Phone (704) 480-9344

808 Schenck St
Shelby, NC 28150
Phone (704) 480-9344

Interoperability endpoints

  • Direct secure messaging: ajubane571703@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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1710965322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SCHENCK ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503934",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SCHENCK ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503934",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBANE",
        "first_name": "ALAN",
        "middle_name": "VELEZ",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891081W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.