Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Noel Desantos Ibanez, MD

Individual provider Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1639407448

Noel Desantos Ibanez, MD is a Psychiatry in Davidson, North Carolina. Graduated from West Virginia University School of Medicine in 2006, 20 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Trained at
West Virginia University School of Medicine
Licensed in
NC
In the registry since
2009
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

16740 Davidson Concord Rd
Davidson, NC 28036-8746
Phone: (704) 444-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 501 Billingsley Rd, Charlotte, NC 28211-1009 — (704) 444-2400
  • 447 Billingsley Rd, Charlotte, NC 28211 — (704) 444-2400
  • 5427 Nc Highway 49 S, Harrisburg, NC 28075-7408 — (704) 454-7268

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2010-01897 (NC)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 2010-01897 (NC)
Forensic Psychiatry Physician Taxonomy 2084F0202X · Licence 2010-01897 (NC)
Neurodevelopmental Disabilities Physician Taxonomy 2084P0005X · Licence 2010-01897 (NC)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence 2010-01897 (NC)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 2010-01897 (NC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 2010-01897 (NC)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 2010-01897 (NC)
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X · Licence 2010-01897 (NC)

Record details

NPI number1639407448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 7, 2009
Last updated in NPPESJuly 24, 2024
Certification dateAugust 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare