Individual provider Active NPI

Maribel L Urrutia, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1104879360
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025-01749 Issued in NC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone
(704) 334-7800
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME76687 FL
Diagnostic Radiology Physician 2085R0202X 2025-01749 NC Primary

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other practice location 1

1600 Phillips Rd
Tallahassee, FL 32308-5304
Phone (850) 878-4127

Other identifiers 5

IdentifierTypeStateIssuer
000904527CMedicaidGA
258979600MedicaidFL
000904527DMedicaidGA
000904527AMedicaidGA
35747OtherFLBCBS

Other names 1

  • Maribel U Lockwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040615001754 FL Practitioner - Diagnostic Radiology 1052395274 Reassigns benefits to 5 organizations
I20250802000352 NC Practitioner - Diagnostic Radiology 1052395274 Reassigns benefits to 1 organization
I20250802000361 SC Practitioner - Diagnostic Radiology 1052395274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PA 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

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

1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900

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

12016 Lemmond Farm Dr
Suite 100
Charlotte, NC 28227-8353
Phone (704) 863-9600

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

1426 E Morehead St
Charlotte, NC 28204-2926
Phone (704) 446-8250

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

1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934

1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610

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

332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500

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

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-01749NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Jul 1, 2000 Accepting new patients
Carolinas Imaging Services, LLC CurrentSince May 25, 2025 Accepting new patients
Florida Department of Children and Families CurrentSince Apr 10, 2021 Accepting new patients
Florida Department of Children and Families CurrentSince Apr 10, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Charlotte Radiology P a CurrentSince Aug 1, 2025 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Jul 1, 2000 Accepting new patients
Florida Department of Children and Families Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Carolinas Imaging Services LLC CurrentSince Jun 20, 2025 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Union Medical Services LLC Diagnostic Radiology CurrentSince Jun 10, 2025 Accepting new patients
Southeast Radiology Associates PL Diagnostic Radiology Past Accepting new patients

Locations

100 N Main St
Chattahoochee, FL 32324
Phone (850) 663-7001

100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

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

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

7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281

Interoperability endpoints

  • Direct secure messaging: mlockwood3012507@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

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.

View all 14

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1104879360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085304",
            "country_code": "US",
            "telephone_number": "850-878-4127",
            "fax_number": "850-878-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "MARIBEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME76687",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-01749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904527C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258979600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904527D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904527A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35747",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBEL",
            "last_name": "LOCKWOOD",
            "middle_name": "U",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.