AUGUSTO JORGE CIANCIABELLA P.A.
NPI 1093953838
Physician Assistant - Surgical in Charlotte, NC

Active since February 02, 2009Opted out of Medicare · through Jan 1, 2027
10502 PARK RD STE 120, CHARLOTTE, NC 28210(704) 702-3880 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Augusto Jorge Cianciabella P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGUSTO JORGE CIANCIABELLA P.A. (NPI 1093953838) is an individual surgical provider in Charlotte, North Carolina and active in the NPI registry since February 2009. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093953838
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameAUGUSTO JORGE CIANCIABELLACredential: P.A.
Location Address10502 PARK RD STE 120Charlotte, NC 28210-8490
Mailing Address10502 Park Rd Ste 120Charlotte, NC 28210-8490 · (704) 702-3880
Sole ProprietorNo
Enumeration DateFebruary 2, 2009
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1093953838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA20179 (CA)
10502 PARK RD STE 120, Charlotte, NC 28210

Other Identifiers 3

OtherPA9105911FL · License
OtherY06SSFL · Bcbs Fl
OtherPA20179CA · California License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Augusto Jorge Cianciabella P.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
10502 PARK RD STE 120
CHARLOTTE, NC 28210
Physician Assistant
10502 PARK RD STE 120
CHARLOTTE, NC 28210
Physical Medicine & Rehabilitation (Pain Medicine)
10502 PARK RD STE 120
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augusto Cianciabella's NPI number?

The NPI number for Augusto Cianciabella is 1093953838. It was assigned to this individual provider in the NPPES registry on February 2, 2009.

Where is Augusto Cianciabella located?

Augusto Cianciabella practices at 10502 Park Rd Ste 120, Charlotte, NC 28210. The listed phone number is (704) 702-3880.

What is Augusto Cianciabella's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Augusto Cianciabella enrolled in Medicare?

No. Augusto Cianciabella has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Augusto Cianciabella was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.