NPIMap

Individual provider Active NPI

Chetan N Amin, DO

  • Family Medicine Physician
  • Salisbury, NC
National Provider Identifier
1104892249
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200000349 Issued in NC
Practice address
1401 W Innes St Ste B
Salisbury, NC 28144-2575
Phone
(704) 636-5626
Fax
(704) 636-5641
NPI assigned
Feb 28, 2006
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200000349 NC Primary

Addresses

Primary practice location

1401 W Innes St Ste B
Salisbury, NC 28144-2575

Mailing address

1401 W Innes St Ste B
Salisbury, NC 28144-2575
Phone (704) 636-5626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000544 NC Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0345317731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Rowan University School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Family Medicine PAGroup PAC ID 8426125816, 4 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1401 W Innes St
Suite B
Salisbury, NC 28144-2575
Phone (704) 636-5626

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000349NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Family Medicine, P.a. CurrentSince Jul 25, 2001 Accepting new patients
Nicole Graham Current Accepting new patients
Lutheran Home at Trinity Oaks, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1401 W Innes St
Ste B
Salisbury, NC 28144
Phone (704) 636-5626

635 Statesville Blvd
Salisbury, NC 28144
Phone (704) 633-7390

Interoperability endpoints

  • Direct secure messaging: admin@piedmontfm.e-mdsdirect.com
  • Direct secure messaging: chetan-amin@piedmontfm.e-mdsdirect.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health Rowan Medical CenterSalisbury, NC, CCN 340015 Hospital Corporate Director Jan 1, 2024
Novant Health Rowan Medical Center LLCSalisbury, NC, CCN 34T015 Hospital Corporate Director Jan 1, 2024
Trinity OaksSalisbury, NC, CCN 345153 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2012
Oct 1, 2012
Autumn Care of SalisburySalisbury, NC, CCN 345269 Skilled nursing facility Adp of the SNF Dec 1, 2018
Novant Health HospiceSalisbury, NC, CCN 341601 Hospice Corporate Officer
W-2 Managing Employee		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1104892249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W INNES ST STE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442575",
            "telephone_number": "704-636-5626",
            "fax_number": "704-636-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W INNES ST STE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442575",
            "telephone_number": "704-636-5626",
            "fax_number": "704-636-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "CHETAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.