Active NPI
Robert Joseph Attorri, M.D.
- Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9401121
- Practice address
- 1900 Randolph Rd
Ste 210
Charlotte, NC 28207-1106 - Phone
- (704) 370-0223
- Fax
- (704) 370-0799
- NPI assigned
- Feb 22, 2007
- Last updated
- Sep 26, 2016
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9401121 | NC | Primary |
| Pediatric Surgery Physician | 2086S0120X | 94-01121 | NC |
Addresses
Primary practice location
1900 Randolph Rd
Ste 210
Charlotte, NC 28207-1106
Mailing address
1900 Randolph Rd
Ste 210
Charlotte, NC 28207-1106
Phone (704) 370-0223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8910905 | Medicaid | NC | |
| N01121 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9401121 | NC | MD | Surgery Physician |
| 94-01121 | NC | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Surgical Associates, P.a. | Pediatric Surgery | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Mission Hospitals Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346
1900 Randolph Rd
Ste 210
Charlotte, NC 28207
Phone (704) 370-0223
Organizations & group practices 6
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.
-
- Pediatric Surgery Physician
- Charlotte, NC
- NPI 1174640163
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
dba Mission Psychiatric Services
- Psychiatric Hospital Unit
- Asheville, NC
- NPI 1962452482
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1083749170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD",
"address_2": "STE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071106",
"telephone_number": "704-370-0223",
"fax_number": "704-370-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD",
"address_2": "STE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071106",
"telephone_number": "704-370-0223",
"fax_number": "704-370-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTORRI",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9401121",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NC",
"license": "94-01121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910905",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01121",
"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 Sep 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.