Individual provider Active NPI

Justin P Favaro, MD

  • Hematology & Oncology Physician
  • Charlotte, NC
National Provider Identifier
1053365320
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2003-00782 Issued in NC
Practice address
2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027
Phone
(707) 342-9577
Fax
(704) 377-0353
NPI assigned
May 20, 2006
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2003-00782 NC Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027

Mailing address

PO Box 3710
Hickory, NC 28603-3710
Phone (828) 324-9550

Other practice location 1

10635 Park Rd Ste F
Charlotte, NC 28210-8408
Phone (704) 342-1900

Other practice location 2

127 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6600
Phone (704) 342-9577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060804000087 NC Practitioner - Hematology/Oncology 0749293033 Reassigns benefits to 3 organizations
I20240806000204 SC Practitioner - Hematology/Oncology 0749293033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology Specialists of Charlotte PAGroup PAC ID 9931112224, 9 clinicians
Carolina Oncology Specialist PAGroup PAC ID 5193720498, 17 clinicians

Practice addresses (Care Compare)

10635 Park Rd
Suite F
Charlotte, NC 28210-8408
Phone (704) 342-1900

127 Ben Casey Dr
Suite 105
Fort Mill, SC 29708-6600
Phone (704) 342-9577

1700 1St Baxter Xing
Suite 102
Fort Mill, SC 29708-8950
Phone (704) 342-1900

2711 Randolph Rd
Suite 400
Charlotte, NC 28207-2027
Phone (704) 342-9577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
83.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-00782NCMDHematology & Oncology Physician
89701SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Oncology Specialist PA Hematology & Oncology CurrentSince Dec 1, 2025 Accepting new patients
Regional Medical Oncology Center PA Hematology & Oncology CurrentSince Dec 25, 2018 Accepting new patients
Carolina Oncology Specialist PA Hematology & Oncology CurrentSince Jul 31, 2006 Accepting new patients

Locations

10635 Park Rd
Ste F
Charlotte, NC 28210
Phone (704) 342-1900

2630 E 7th St
Ste 210
Charlotte, NC 28204
Phone (704) 334-0600

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

7108 Pineville Matthews Rd
Ste 102
Charlotte, NC 28226
Phone (704) 342-1900

2406 Century Pl SE
Hickory, NC 28602
Phone (828) 324-9550

2624 Ortho Dr W
Wilson, NC 27893
Phone (252) 293-0777

127 Ben Casey Dr
Ste 105
Fort Mill, SC 29708
Phone (704) 342-9577

1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1053365320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3710",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033710",
            "telephone_number": "828-324-9550",
            "fax_number": "828-324-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "707-342-9577",
            "fax_number": "704-377-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10635 Park Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108408",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-377-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Ben Casey Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086600",
            "country_code": "US",
            "telephone_number": "704-342-9577",
            "fax_number": "704-377-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVARO",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2003-00782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.