BLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA
NPI 1851363311
Internal Medicine - Cardiovascular Disease in Elkin, NC

Active since February 07, 2006CLIA Certified · 2 labs
640 PARKWOOD MEDICAL PARK, ELKIN, NC 28621(336) 526-7997(336) 526-3537 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blue Ridge Cardiology And Internal Medicine Pa NPPES

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

BLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA (NPI 1851363311) is a healthcare organization registered as a cardiovascular disease in Elkin, North Carolina and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Tomas Vybiral, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851363311
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA
Location Address640 PARKWOOD MEDICAL PARKElkin, NC 28621-2487
Mailing AddressPo Box 249Yadkinville, NC 27055-0249 · (336) 679-4963 · Fax (336) 679-2549
Fax(336) 526-3537
Organization SubpartNo
Authorized OfficialTomas VybiralCeo · (336) 526-7997
Enumeration DateFebruary 7, 2006
Last NPPES UpdateAugust 23, 2013
✔ NPI 1851363311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
640 PARKWOOD MEDICAL PARK, Elkin, NC 28621

Other Identifiers 5

Other21388NC · Medcost Group Number
Medicare PIN2317627NC
Other0286KNC · Bcbs Of Nc Group Number
Medicare ID-Type UnspecifiedCD9497NC · Medicare Railroad Group
Medicaid890286KNC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Ridge Cardiology And Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Blue Ridge Cardiology And Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1699668079
640 PARKWOOD MEDICAL PARK
Elkin, NC 28621
(336) 526-7997
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1700858404
640 PARKWOOD MEDICAL PARK
Elkin, NC 28621
(336) 526-7997
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1740285824
640 PARKWOOD MEDICAL PARK
Elkin, NC 28621
(336) 526-7997
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245815752
500 CHATHAM MEDICAL PARK
Elkin, NC 28621
(336) 835-3136
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669286647
1909 W PARK DR
North Wilkesboro, NC 28659
(336) 667-1001
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1275914285
1909 W PARK DR
North Wilkesboro, NC 28659
(336) 667-1001
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1205546207
905 ROCKFORD ST
Mount Airy, NC 27030
(336) 719-2440
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0882800

Blue Ridge Cardiology & Internal Med · Elkin, NC
Active · expires Feb 17, 2028
CLIA Number34D0882800
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorTomas Vybiral
Laboratory Phone(910) 526-7997
Laboratory LocationBlue Ridge Cardiology & Internal Med640 Parkwood Medical Park, Elkin, NC 28621
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D0929191

Blue Ridge Cardiology And Internal Med · Yadkinville, NC
Active · expires Jun 8, 2027
CLIA Number34D0929191
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorTomas Vybiral
Laboratory Phone(910) 679-2733
Laboratory LocationBlue Ridge Cardiology And Internal Med108 S State St, Yadkinville, NC 27055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Blue Ridge Cardiology And Internal Medicine PA's NPI number?

The NPI number for Blue Ridge Cardiology And Internal Medicine PA is 1851363311. It was assigned to this organization in the NPPES registry on February 7, 2006.

Where is Blue Ridge Cardiology And Internal Medicine PA located?

Blue Ridge Cardiology And Internal Medicine PA is located at 640 Parkwood Medical Park, Elkin, NC 28621. The listed phone number is (336) 526-7997.

What is Blue Ridge Cardiology And Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Blue Ridge Cardiology And Internal Medicine PA enrolled in Medicare?

Yes. Blue Ridge Cardiology And Internal Medicine PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ridge Cardiology And Internal Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Blue Ridge Cardiology And Internal Medicine PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Cardiovascular Disease (Cardiology) (1) and Internal Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blue Ridge Cardiology And Internal Medicine PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Blue Ridge Cardiology And Internal Medicine PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Blue Ridge Cardiology And Internal Medicine PA 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.

When was this NPI record last updated?

The NPPES record for Blue Ridge Cardiology And Internal Medicine PA was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.