Ryan Austin Corbello, MD
Individual provider Active NPI Family Medicine Physician · Davidson, NC
NPI 1902333552 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1902333552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2020-02833 (NC)
- Practice address
- 705 Griffith St
Davidson, NC 28036-9304 - Phone
- (704) 801-7900
- NPI assigned
- May 15, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Legacy Healthcare Services Inc
Practice addresses (Care Compare)
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271
705 Griffith St
Davidson, NC 28036-9304
Phone (704) 863-9973
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Atrium Health at Home University City
- Carolinas Medical Center/Behav Health
- Atrium Health University City
- Carolinas Medical Center-Northeast
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200803001058 | NC | Practitioner - Family Practice | 9133490576 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-02833 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current |
Accepting new patients |
| Carolinas Physicians Network, Inc | Family Medicine | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060
705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900
705 Griffith St
Davidson, NC 28036
Phone (704) 801-7900
Interoperability endpoints
- rcorbello137208@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2020-02833 | NC | Yes |
Addresses
Primary practice location
705 Griffith St
Davidson, NC 28036-9304
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
705 Griffith St
Ste 100
Davidson, NC 28036-9304
Phone (704) 801-7900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcorbello137208@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in Davidson, NC
- Coleman and Dastrup PLLC
- Dennis J. Coleman
- Herbert Neal Collins Jr.
- Tanya Leal Condiano
- Allison Jane Copeck
- Laquanda Malika Coulote
- Creative Psychology With Dr. Dug PLLC
- M. Dewitt Crosby
- Madeleine Rose Cutrone-Accomazzo
- CVS Health
All providers in Davidson, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.