Active NPI
Oluseun Olukayode Alli, MD
- Interventional Cardiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2016-01363
- Practice address
- 125 Queens Rd Ste 200
Charlotte, NC 28204-3578 - Phone
- (704) 343-9800
- Fax
- (704) 347-2011
- NPI assigned
- May 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2016-01363 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 2016-01363 | 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 practice location 1
1718 E 4th St
Suite 501
Charlotte, NC 28204-3261
Phone (704) 343-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31807 | Other | AL | ALABAMA BOARD OF MEDICINE |
| MT184901 | Other | PA | MED TRAINING NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oalli321222@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
125 Baldwin Ave
Suite 200
Charlotte, NC 28204-3370
Phone (704) 384-5043
125 Queens Rd
Charlotte, NC 28204-3215
1401 Matthews Township Pkwy
Suite 110
Matthews, NC 28105-5403
Phone (704) 264-3500
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073
9930 Kincey Ave
Suite 200
Huntersville, NC 28078-6541
Phone (704) 887-4530
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Matthews Medical Center
- Novant Health Huntersville Medical Center
- Atrium Health Union
- Novant Health Mint Hill Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Medical Group, Inc | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Rowan Regional Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Mint Hill Medical Center, LLC | Current | Accepting new patients |
Locations
2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256
14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074
125 Queens Rd
Ste 200
Charlotte, NC 28204
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
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
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 13
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Specialist
- Matthews, NC
- NPI 1184782419
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Hematology & Oncology Physician
- Salisbury, NC
- NPI 1427770130
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1174036115
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1114171634
-
- Cardiovascular Disease Physician
- Salisbury, NC
- NPI 1679812010
-
- Specialist
- Charlotte, NC
- NPI 1245399542
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1053524967",
"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": [
{
"address_1": "1718 E 4th St",
"address_2": "Suite 501",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043261",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLI",
"first_name": "OLUSEUN",
"middle_name": "OLUKAYODE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"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": "2016-01363",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2016-01363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF MEDICINE",
"identifier": "31807",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED TRAINING NUMBER",
"identifier": "MT184901",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oalli321222@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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.