MARTIN EUGENE DEBERARDINIS DO
NPI 1801424163
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Martin Eugene Deberardinis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN EUGENE DEBERARDINIS DO (NPI 1801424163) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Martin Eugene Deberardinis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
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 Martin Deberardinis's NPI number?
The NPI number for Martin Deberardinis is 1801424163. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Martin Deberardinis located?
Martin Deberardinis practices at 1 Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-2694.
What is Martin Deberardinis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Martin Deberardinis enrolled in Medicare?
Yes. Martin Deberardinis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Martin Deberardinis was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Martin Eugene Deberardinis, DO · NPI 1801424163
Student in an Organized Health Care Education/Training Program provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1801424163 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157-0001
- **Phone:** (336) 716-2694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801424163) · Data from the CMS NPPES public registry.