JOSE GUADALUPE DELGADO-ROBLES MD
NPI 1245894567
Family Medicine in Charlotte, NC

Q: What is Jose Delgado-robles's NPI number?

The NPI number for Jose Delgado-robles is 1245894567. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Q: What is Jose Delgado-robles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

5727 PROSPERITY CROSSING DR, STE 2200, CHARLOTTE, NC 28269(704) 863-9830 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 6 more (9 updates tracked since 2019).

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About Jose Guadalupe Delgado-robles Md NPPES

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

JOSE GUADALUPE DELGADO-ROBLES MD (NPI 1245894567) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2022-02316) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2019).

NPPES Registry Identity

NPI1245894567

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE GUADALUPE DELGADO-ROBLESCredential: MD

Location Address5727 PROSPERITY CROSSING DR, STE 2200Charlotte, NC 28269-2206

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 863-9830

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2019

Enumeration DateApril 23, 2019

Last NPPES UpdateJuly 15, 20249 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1245894567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2022-02316

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2022-02316 (NC)

5727 PROSPERITY CROSSING DR, Charlotte, NC 28269

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Guadalupe Delgado-robles Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971839846

PECOS Enrollment IDI20221104000241

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

96 services40 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services21 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

28 services14 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

12 services12 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims15 services$68.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

REBECCA LYNN TAKAHASHI MD

Pediatrics

5727 PROSPERITY CROSSING DR
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9910

CAROLINAS PHYSICIANS NETWORK INC

Family Medicine

5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9830

LUBNA SIAL ELAHI MD

Pediatrics

5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9910

ASHLEY HERRMANN HAM DO

Pediatrics

5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9910

VICKI STARLENE SHIPMAN FNP

Nurse Practitioner (Family)

5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9930

AJIRI S. BARNES MD

Family Medicine

5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9830

REBECCA LYNN WILSON FNP

Nurse Practitioner

5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9930

ELMER STAMPER JR. PA

Physician Assistant

5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269

Mecklenburg County (704) 863-9930

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 Jose Delgado-robles's NPI number?

The NPI number for Jose Delgado-robles is 1245894567. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Jose Delgado-robles located?

Jose Delgado-robles practices at 5727 Prosperity Crossing Dr Ste 2200, Charlotte, NC 28269. The listed phone number is (704) 863-9830.

What is Jose Delgado-robles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Delgado-robles enrolled in Medicare?

Yes. Jose Delgado-robles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Delgado-robles accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Jose Delgado-robles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose Delgado-robles affiliated with any hospitals?

According to CMS data, Jose Delgado-robles is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Jose Delgado-robles was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.