Active NPI
Jennifer M. Dimovski, M.D.
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2007-01214
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907323 | Medicaid | NC | |
| N01219 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Carolinas Medical Center/Behav Health
- Carolinas Medical Center-Northeast
- Atrium Health Union
- Atrium Health Pineville
- Atrium Health Cleveland
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD33248 | AL | MD | Diagnostic Radiology Physician |
| ME119497 | FL | MD | Diagnostic Radiology Physician |
| 71488 | GA | MD | Diagnostic Radiology Physician |
| D0061908 | MD | MD | Diagnostic Radiology Physician |
| 47489 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Imaging Services, LLC | Current | Accepting new patients | |
| University of Virginia Physicians Group | Past | 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.
-
- Physiological Laboratory
- Rock Hill, SC
- NPI 1780113324
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.