Individual provider Active NPI

Alexandria Atuahene Opata, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Huntersville, NC
National Provider Identifier
1073838132
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2019-00200 Issued in NC
Practice address
16525 Holly Crest LN Ste 230
Huntersville, NC 28078-4912
Phone
(704) 316-6360
Fax
(704) 316-6361
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 262730 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD457660 PA
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2019-00200 NC Primary

Addresses

Primary practice location

16525 Holly Crest LN Ste 230
Huntersville, NC 28078-4912

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aopata724585@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823001065 PA Practitioner - Internal Medicine 0042505513 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00200NCMDEndocrinology, Diabetes & Metabolism Physician
262730NYMDEndocrinology, Diabetes & Metabolism Physician
MD457660PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Endocrinology, Diabetes & Metabolism CurrentSince Jul 18, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 18, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

400 Oxford Dr
Ste 100
Monroeville, PA 15146
Phone (412) 478-9747

3601 5th Ave
Ste 2B
Pittsburgh, PA 15213
Phone (412) 383-8700

3601 5th Ave
Pittsburgh, PA 15213
Phone (412) 383-8700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1073838132",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 HOLLY CREST LN STE 230",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784912",
            "telephone_number": "704-316-6360",
            "fax_number": "704-316-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPATA",
        "first_name": "ALEXANDRIA",
        "middle_name": "ATUAHENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "262730",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD457660",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "2019-00200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aopata724585@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "16525 Holly Crest Ln Ste 230",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280784912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.