NPIMap

Individual provider Active NPI

William Ofori Ntim, MD

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1043290794
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2005-01668 Issued in NC
Practice address
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone
(704) 343-9800
Fax
(704) 347-2011
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2005-01668 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 200
Charlotte, NC 28204-3578

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800

Other identifiers 8

IdentifierTypeStateIssuer
1402HOtherNCBCBS
806728OtherNCPARTNERS
10221374MedicaidVA
Q68005MedicaidSC
3810004047MedicaidWV
5902241MedicaidNC
7795490OtherAETNA
184320OtherNCMEDCOST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WNTIM34987@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
I20051031000784 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567489313 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215

1401 Matthews Township Pkwy
Suite 110
Matthews, NC 28105-5403
Phone (704) 264-3500

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-01668NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2010 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 18, 2023 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Apr 15, 2009 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Apr 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Sep 19, 2020 Accepting new patients
Wake Forest University Health Sciences CurrentSince Oct 4, 2005 Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Apr 1, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 15, 2009 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2010 Accepting new patients
Novant Health Rowan Medical Center LLC CurrentSince Apr 1, 2017 Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients
Cardiovascular Associates of Brooklyn Past Accepting new patients

Locations

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

2701 Statesville Ave
Charlotte, NC 28206
Phone (704) 384-0500

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

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

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

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

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

1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

125 Baldwin Ave
Ste 100
Charlotte, NC 28204
Phone (704) 316-1900

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

125 Queens Rd
Ste 200
Charlotte, NC 28204

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: wntim34987@direct.novanthealth.org

Organizations & group practices 15

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.

View all 15

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1043290794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043578",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTIM",
        "first_name": "WILLIAM",
        "middle_name": "OFORI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2005-01668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1402H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "806728",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10221374",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q68005",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004047",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7795490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "184320",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WNTIM34987@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1718 E 4th St",
            "address_2": "Suite 501",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.