Individual provider Active NPI

Andrew Richard Newberg, M.D.

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1770744922
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200800760 Issued in NC
Practice address
211 Providence Rd
Chapel Hill, NC 27514-2231
Phone
(919) 402-7030
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D64563 MD
Psychiatry Physician 2084P0800X 200800760 NC Primary

Addresses

Primary practice location

211 Providence Rd
Chapel Hill, NC 27514-2231

Mailing address

211 Providence Rd
Chapel Hill, NC 27514-2231
Phone (919) 402-7030

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
I20080710000688 NC Practitioner - Psychiatry 5193897965 Practice locations: Chapel Hill, NC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Massachusetts Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

211 Providence Rd
Chapel Hill, NC 27514-2231
Phone (919) 402-7030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D64563MDMDPsychiatry Physician
200800760NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew R Newberg MD PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

211 Providence Rd
Chapel Hill, NC 27514
Phone (919) 489-1222

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1770744922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PROVIDENCE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142231",
            "telephone_number": "919-402-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PROVIDENCE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142231",
            "telephone_number": "919-402-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERG",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D64563",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200800760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.