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

Q: 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.

Q: What is Michael Rebolledo's specialty?

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

Q: 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.

Active since September 20, 2006PECOS Enrolled

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: August 16, 2026.

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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.

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

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, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael A Rebolledo M.d. 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.

GLENN T WETZEL MD

Pediatrics (Pediatric Cardiology)