Individual provider Active NPI

Mark Aaron Kuzich, D.O.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1033347265
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2022-01521 Issued in NC
Practice address
1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112
Phone
(704) 333-0741
Fax
(704) 333-3356
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS13910 FL
Surgery Physician 208600000X 5101018249 MI
Surgical Critical Care Physician 2086S0102X 2022-01521 NC
Surgical Critical Care Physician 2086S0102X OS13910 FL
Surgery Physician 208600000X 2022-01521 NC Primary

Addresses

Primary practice location

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Other practice location 1

2555 Court Dr Ste 450
Gastonia, NC 28054-2191
Phone (704) 671-7652

Other identifiers 2

IdentifierTypeStateIssuer
018473200MedicaidFL
TLFUQOtherFLFLORIDA BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123001978 NC Practitioner - General Surgery 4284954405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Prep II LLCGroup PAC ID 1052835311, 47 clinicians

Practice addresses (Care Compare)

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13910FLMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Surgery CurrentSince Oct 20, 2022 Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Apr 1, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Oct 20, 2022 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 20, 2025 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 20, 2025 Accepting new patients
Caromont Medical Group Inc Surgery Current Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390

1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mkuzich1694981@direct.novanthealth.org
  • Direct secure messaging: mark.kuzich@hca4.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1033347265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071112",
            "telephone_number": "704-333-0741",
            "fax_number": "704-333-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Court Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542191",
            "country_code": "US",
            "telephone_number": "704-671-7652",
            "fax_number": "704-671-7656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZICH",
        "first_name": "MARK",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS13910",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018249",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NC",
            "license": "2022-01521",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "OS13910",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2022-01521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018473200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "TLFUQ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.