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ANDRE NIKOLAY MANCHENO RUBIO MD
NPI 1790522340
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since July 11, 2024PECOS Enrolled
2100 STANTONSBURG RD, GREENVILLE, NC 27834(910) 298-3125(910) 320-8409 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Jul 11, 2024 (2 updates tracked since 2024).

About Andre Nikolay Mancheno Rubio Md NPPES

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

ANDRE NIKOLAY MANCHENO RUBIO MD (NPI 1790522340) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (323537) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790522340
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE NIKOLAY MANCHENO RUBIOCredential: MD
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (910) 298-3125 · Fax (910) 320-8409
Phone(910) 298-3125
Fax(910) 320-8409
Sole ProprietorNo
Enumeration DateJuly 11, 2024
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1790522340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · 323537
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2100 STANTONSBURG RD, Greenville, NC 27834
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Nikolay Mancheno Rubio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KATHRYN M DONATO CRNA
Nurse Anesthetist, Certified Registered
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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 Andre Mancheno Rubio's NPI number?

The NPI number for Andre Mancheno Rubio is 1790522340. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Andre Mancheno Rubio located?

Andre Mancheno Rubio practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (910) 298-3125.

What is Andre Mancheno Rubio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andre Mancheno Rubio enrolled in Medicare?

Yes. Andre Mancheno Rubio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Mancheno Rubio 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.