Active NPI
Karis Kevorkian Roper, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07045
- Practice address
- 3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117 - Phone
- (704) 332-1291
- Fax
- (704) 332-5206
- NPI assigned
- Feb 22, 2017
- Last updated
- Jun 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07045 | NC | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 0010-07045 | NC |
Addresses
Primary practice location
3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Mailing address
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424
Other practice location 1
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
620 Summit Crossing Place
Suite 106
Gastonia, NC 28054-2176
Phone (704) 864-4378
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mema SC LLC | Current | Accepting new patients |
Locations
501 S Sharon Amity Rd
Ste 300
Charlotte, NC 28211
Phone (704) 319-5821
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1356324487
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1407675176
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1093254104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S SHARON AMITY RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282110035",
"telephone_number": "704-377-2424",
"fax_number": "704-377-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112117",
"telephone_number": "704-332-1291",
"fax_number": "704-332-5206"
}
],
"practiceLocations": [
{
"address_1": "501 S Sharon Amity Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282110035",
"country_code": "US",
"telephone_number": "704-377-2424",
"fax_number": "704-377-2687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROPER",
"first_name": "KARIS",
"middle_name": "KEVORKIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2022-06-16",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07045",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "0010-07045",
"primary": false
}
],
"identifiers": [],
"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 Jun 16, 2022; 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.