NPIMap

Individual provider Active NPI

Aileen Deng

  • Medical Oncology Physician
  • Mooresville, NC
National Provider Identifier
1013350727
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2019-00612 Issued in NC
Practice address
170 Medical Park Rd Ste 101
Mooresville, NC 28117-8541
Phone
(980) 302-7070
Fax
(980) 302-7075
NPI assigned
Apr 11, 2013
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology (Internal Medicine) Physician 207RH0000X 2019-00612 NC
Hematology & Oncology Physician 207RH0003X 2019-00612 NC
Medical Oncology Physician 207RX0202X 2019-00612 NC Primary

Addresses

Primary practice location

170 Medical Park Rd Ste 101
Mooresville, NC 28117-8541

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice location 1

8401 University Exec Park Dr Ste 130
Charlotte, NC 28262-4358
Phone (704) 316-2016

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adeng729229@direct.novanthealth.org
Direct Messaging Address adeng729229@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191104001114 NC Practitioner - Internal MedicinePractitioner - Hematology/Oncology 8224269030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

1918 Randolph Rd
Suite 350
Charlotte, NC 28207-1111
Phone (704) 384-1750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-00612NCMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital CurrentSince Aug 26, 2019 Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Aug 26, 2019 Accepting new patients
The Presbyterian Hospital Hematology & Oncology Past Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

1718 E 4th St
Ste 105
Charlotte, NC 28204
Phone (704) 384-5373

1918 Randolph Rd
Ste 350
Charlotte, NC 28207
Phone (704) 384-1750

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8401 University Exec Park Dr
Ste 130
Charlotte, NC 28262
Phone (704) 316-2016

10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946

1700 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 841-8151

170 Medical Park Rd
Ste 101
Mooresville, NC 28117
Phone (704) 799-3946

Networks

  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1013350727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178541",
            "telephone_number": "980-302-7070",
            "fax_number": "980-302-7075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 University Exec Park Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624358",
            "country_code": "US",
            "telephone_number": "704-316-2016",
            "fax_number": "704-316-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENG",
        "first_name": "AILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NC",
            "license": "2019-00612",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2019-00612",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2019-00612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeng729229@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8401 University Exec Park Dr Ste 130",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282624358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeng729229@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "170 Medical Park Rd Ste 101",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.