Individual provider Active NPI

Nicolo Marsoni, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Monroe, NC
National Provider Identifier
1134268261
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2010-01494 Issued in NC
Practice address
1969 Wellness Blvd
Monroe, NC 28110-7763
Phone
(704) 316-5775
Fax
(704) 316-5815
NPI assigned
Feb 5, 2007
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2010-01494 NC Primary
Pulmonary Disease Physician 207RP1001X 2010-01494 NC

Addresses

Primary practice location

1969 Wellness Blvd
Monroe, NC 28110-7763

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5775

Other practice location 1

1918 Randolph Rd
Suite 580
Charlotte, NC 28207-1100
Phone (704) 384-9900

Other identifiers 2

IdentifierTypeStateIssuer
NC1228MedicaidSC
5915840MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmarsoni15005@direct.novanthealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012001115 NC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1658424676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1718 E 4TH St
Suite 105
Charlotte, NC 28204-3193
Phone (704) 316-5222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-01494NCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 30, 2010 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 30, 2010 Accepting new patients
Novant Medical Group, Inc. Critical Care Medicine Past Accepting new patients
Tulsa Pulmonary and Allergy Consultants Inc Critical Care Medicine Past Accepting new patients
St. John Physicians, Inc. Past Accepting new patients

Locations

11840 Southmore Dr
Ste 201
Charlotte, NC 28277
Phone (704) 316-9001

1718 E 4th St
Ste 105
Charlotte, NC 28204
Phone (704) 384-5373

1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113

201 Queens Rd
Charlotte, NC 28204
Phone (704) 316-5285

1401 Matthews Township Pkwy
Ste 100
Matthews, NC 28105
Phone (704) 384-1080

1450 Matthews Township Pkwy
Ste 380
Matthews, NC 28105
Phone (704) 264-3500

1969 Wellness Blvd
Monroe, NC 28110
Phone (704) 316-5775

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: nmarsoni15005@direct.novanthealth.org

Organizations & group practices 6

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 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1134268261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-5775",
            "fax_number": "704-316-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 WELLNESS BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107763",
            "telephone_number": "704-316-5775",
            "fax_number": "704-316-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd",
            "address_2": "Suite 580",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071100",
            "country_code": "US",
            "telephone_number": "704-384-9900",
            "fax_number": "704-384-9919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSONI",
        "first_name": "NICOLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2010-01494",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2010-01494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1228",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915840",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmarsoni15005@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd",
            "address_2": "Suite 580",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.