Organization Active NPI

Carolina Infectious Disease and Critical Care Associates, LLC

  • Infectious Disease Physician
  • Charlotte, NC
National Provider Identifier
1053519710
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
29472 Issued in SC
Legal business name
CAROLINA INFECTIOUS DISEASE AND CRITICAL CARE ASSOCIATES, LLC
Practice address
11137 McClure Manor Dr
Charlotte, NC 28277-3027
Phone
(917) 974-3901
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Abhijeet S Nadkarni, M.D.NPI 1356469555
Title
Owner - Single Member LLC
Phone
(917) 974-3901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 29472 SC
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 29472 SC Primary

Addresses

Primary practice location

11137 McClure Manor Dr
Charlotte, NC 28277-3027

Mailing address

PO Box 2467
Lancaster, SC 29721-2467

Other identifiers 1

IdentifierTypeStateIssuer
GP4711MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1053519710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2467",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297212467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 MCCLURE MANOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773027",
            "telephone_number": "917-974-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INFECTIOUS DISEASE AND CRITICAL CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "NADKARNI",
        "authorized_official_first_name": "ABHIJEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER - SINGLE MEMBER LLC",
        "authorized_official_telephone_number": "917-974-3901",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "29472",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "29472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4711",
            "state": "SC"
        }
    ],
    "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 Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.