NPIMap

Individual provider Active NPI

Jahan Joyce Mohiuddin, MD

  • Radiation Oncology Physician
  • Charlotte, NC
National Provider Identifier
1093177727
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
269136 Issued in NC
Practice address
200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone
(704) 680-6570
NPI assigned
Mar 22, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 269136 NC Primary

Addresses

Primary practice location

200 Queens Rd Ste 400
Charlotte, NC 28204-3264

Mailing address

200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone (704) 680-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210604000414 SC Practitioner - Radiation Oncology 0648679076 Reassigns benefits to 1 organization
I20210607000983 NC Practitioner - Radiation Oncology 0648679076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

1005 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 283-6200

1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone (704) 845-8800

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 333-7376

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

222 S Herlong Ave
Rock Hill, SC 29732-1158

228 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 366-5186

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 333-7376

301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 333-7376

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 333-7376

920 Church N St
Concord, NC 28025-2927
Phone (704) 333-7376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269136NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 12, 2021 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jul 12, 2021 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC Current Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Jul 12, 2021 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 12, 2021 Accepting new patients

Locations

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

125 Queens Rd
Ste 150
Charlotte, NC 28204
Phone (980) 302-6144

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: jmohiuddin499915@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jmohiuddin845852@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1093177727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-680-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-680-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "JAHAN",
        "middle_name": "JOYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "269136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.