Active NPI
Michael Passeri, MD
- Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2017-01213
- Practice address
- 1025 Morehead Medical Dr
Suite 600
Charlotte, NC 28204-2963 - Phone
- (704) 355-8816
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2017-01213 | NC | Primary |
Addresses
Primary practice location
1025 Morehead Medical Dr
Suite 600
Charlotte, NC 28204-2963
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1021 Morehead Medical Dr
Suite A
Charlotte, NC 28204-2990
Phone (980) 442-2000
Other practice location 2
200 Medical Park Dr
Suite 430
Concord, NC 28025-2982
Phone (704) 403-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
Hospital & facility affiliations
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current | Accepting new patients |
Locations
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
Interoperability endpoints
- michael.passeri.1@5622.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1023374469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MOREHEAD MEDICAL DR",
"address_2": "SUITE 600",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042963",
"telephone_number": "704-355-8816"
}
],
"practiceLocations": [
{
"address_1": "1021 Morehead Medical Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042990",
"country_code": "US",
"telephone_number": "980-442-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Medical Park Dr",
"address_2": "Suite 430",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252982",
"country_code": "US",
"telephone_number": "704-403-5890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSERI",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2017-01213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.