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MICHAEL A REBOLLEDO M.D.
NPI 1891893020
Pediatrics - Pediatric Cardiology in Memphis, TN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
848 ADAMS AVE, L400, MEMPHIS, TN 38103(901) 287-7337(901) 287-4646 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael A Rebolledo M.d. NPPES

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

MICHAEL A REBOLLEDO M.D. (NPI 1891893020) is an individual pediatric cardiology provider in Memphis, Tennessee, licensed in Tennessee (54187) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1991).

NPPES Registry Identity

NPI1891893020
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMICHAEL A REBOLLEDOCredential: M.D.
Location Address848 ADAMS AVE, L400Memphis, TN 38103-2816
Mailing Address51 N Dunlap St, G145Memphis, TN 38105-4625 · (901) 287-5594 · Fax (901) 287-6804
Phone(901) 287-7337
Fax(901) 287-4646
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1991
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 18, 2016
✔ NPI 1891893020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in TN · 54187✔ Licensed in CA · A52896
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
848 ADAMS AVE, Memphis, TN 38103
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Other Identifiers 2

Medicaid00A528960CA
Medicare UPING66789CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael A Rebolledo M.d. 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 ID1759325475
PECOS Enrollment IDI20160707002331
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Rebolledo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Lebonheur Pediatric Specialists, Inc.
Same address
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337
St Jude Children's Research Hospital, Inc.
0.9 mi
Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 clinicians in this Medicare group
NPI 1306335088 (901) 595-3300

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

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.

GLENN T WETZEL MD
Pediatrics (Pediatric Cardiology)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7337
MARK C BUGNITZ MD
Pediatrics (Pediatric Critical Care Medicine)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7337
SCOTT NORMAN WISNIEWSKI MD
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7700
DR. HEATHER NOREEN BECKER MD
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-5437
CRISTINA NICOLE MARTINEZ
Nurse Practitioner (Neonatal, Critical Care)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-5437
MAYA EMPTAGE DNP PNP-PC
Nurse Practitioner (Pediatrics)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7337
COURTNEY JACKS MS, CCC-SLP
Speech-Language Pathologist
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-4300
MRS. AMANDA ELLEN HELTON RD, LDN
Dietitian, Registered (Nutrition, Pediatric)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-6140

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 Michael Rebolledo's NPI number?

The NPI number for Michael Rebolledo is 1891893020. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Michael Rebolledo located?

Michael Rebolledo practices at 848 Adams Ave L400, Memphis, TN 38103. The listed phone number is (901) 287-7337.

What is Michael Rebolledo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michael Rebolledo enrolled in Medicare?

Yes. Michael Rebolledo 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.

Which organizations bill Medicare for Michael Rebolledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Rebolledo reassigns Medicare benefits to 2 organizations: Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN) and St Jude Children's Research Hospital, Inc. (Memphis, TN). Each 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 Michael Rebolledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Rebolledo accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company list Michael Rebolledo 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 Michael Rebolledo was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.