Individual provider Active NPI

Jennifer M. Dimovski, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1093735953
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2007-01214 Issued in NC
Practice address
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Phone
(704) 334-7800
Fax
(704) 414-7512
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 30318 SC
Diagnostic Radiology Physician 2085R0202X 0101239598 VA
Diagnostic Radiology Physician 2085R0202X 2007-01214 NC Primary
Diagnostic Radiology Physician 2085R0202X D0061908 MD
Diagnostic Radiology Physician 2085R0202X MD33248 AL
Diagnostic Radiology Physician 2085R0202X 71488 GA
Diagnostic Radiology Physician 2085R0202X ME119497 FL
Diagnostic Radiology Physician 2085R0202X 47489 KY

Addresses

Primary practice location

700 E Morehead St
Ste 300
Charlotte, NC 28202-2788

Mailing address

700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Phone (704) 334-7800

Other identifiers 2

IdentifierTypeStateIssuer
5907323MedicaidNC
N01219MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20070905000109 NC Practitioner - Diagnostic Radiology 7911903299 Reassigns benefits to 1 organization
I20080128000060 SC Practitioner - Diagnostic Radiology 7911903299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535

1001 Blythe Blvd
Charlotte, NC 28203-5863
Phone (704) 362-1945

101 E W T Harris Blvd
Suite 2122a
Charlotte, NC 28262-3590
Phone (704) 362-1945

1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945

1025 Morehead Medical Dr
Suite 150
Charlotte, NC 28204-2973
Phone (704) 334-7800

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945

10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391

1100 Healing Way
Matthews, NC 28104-4951
Phone (704) 246-1566

12335 N Community House Rd
Suite B
Charlotte, NC 28277-1825
Phone (704) 684-8204

132 Gateway Blvd
Suite a
Mooresville, NC 28117-5540
Phone (704) 235-6446

13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800

1401 Matthews Township Pkwy
Matthews, NC 28105-5403

15419 Hodges Cir
Suite 201B
Huntersville, NC 28078-6557
Phone (704) 895-4970

1550 Faulk St
Suite 1200
Monroe, NC 28112-5087
Phone (704) 362-1945

16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950

16455 Statesville Rd
Suite 110B
Huntersville, NC 28078-7125
Phone (704) 367-2232

2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800

301 S McDowell St
Suite 110
Charlotte, NC 28204-2643
Phone (704) 332-7811

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945

500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 362-1945

5735 Prosperity Crossing
Suite 100
Charlotte, NC 28269-1134
Phone (704) 334-7800

5735 Prosperity Crossing Dr
Suite 100
Charleston, NC 28269-1134
Phone (704) 612-4955

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945

724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33248ALMDDiagnostic Radiology Physician
ME119497FLMDDiagnostic Radiology Physician
71488GAMDDiagnostic Radiology Physician
D0061908MDMDDiagnostic Radiology Physician
47489KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Imaging Services, LLC CurrentSince Jul 18, 2017 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Locations

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1093735953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022788",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022788",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOVSKI",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "30318",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101239598",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2007-01214",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0061908",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD33248",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "71488",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME119497",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "47489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907323",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01219",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.