Individual provider Active NPI

Robert Joseph Attorri, M.D.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1083749170
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9401121 Issued in NC
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8910905MedicaidNC
N01121MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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
I20080326000279 NC Practitioner - Pediatric Medicine 5698709574 Reassigns benefits to 1 organization
I20130710000167 FL Practitioner - Pediatric Medicine 5698709574 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401121NCMDSurgery Physician
94-01121NCMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Surgical Associates, P.a. Pediatric Surgery CurrentSince Oct 1, 1996 Accepting new patients
The Nemours Foundation CurrentSince Oct 12, 2025 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Oct 12, 2025 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.

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

Verify at the official NPI Registry.