Active NPI
Jonathan Daniel Bouchez, M.D.
- Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 192308
- Practice address
- 1000 Blythe BVLD.
Charlotte, NC 28203 - Phone
- (704) 355-3641
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME147193 | FL | |
| Surgery Physician | 208600000X | 192308 | NC | Primary |
Addresses
Primary practice location
1000 Blythe BVLD.
Charlotte, NC 28203
Mailing address
1000 Blythe BVLD.
Charlotte, NC 28203
Phone (704) 355-3641
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Eastern Virginia Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Grover St
Shelby, NC 28150-3708
Phone (704) 487-8591
2301 US Hwy 74 W
Wadesboro, NC 28170-7554
Phone (704) 994-4900
Hospital & facility affiliations
- Atrium Health Union
- Atrium Health University City
- Stanly Regional Medical Center
- Atrium Health Lincoln
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME147193 | FL | MD | Internal Medicine Physician |
| 192308 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Taylor Regional Hospital | Surgery | Current | Accepting new patients |
| Carolinas Physicians Network, Inc | Past | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Past | Accepting new patients |
Locations
202 Perry Hwy
Ste 104
Hawkinsville, GA 31036
Phone (478) 783-3399
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
101 E Wt Harris Blvd
Ste 5500A
Charlotte, NC 28262
Phone (704) 863-1520
441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250
1100 Healing Way
Ste 11A
Matthews, NC 28104
Phone (980) 993-1745
1550 Faulk St
Monroe, NC 28112
Phone (980) 442-0430
200 W Grover St
Shelby, NC 28150
Phone (704) 487-8591
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
Organizations & group practices 12
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
Internal Medicine, NC
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Obstetrics & Gynecology Physician
- Concord, NC
- NPI 1467790055
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Monroe, NC
- NPI 1922353838
Internal Medicine
-
- Neurology with Special Qualifications in Child Neurology Physician
- Concord, NC
- NPI 1396172516
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Surgery Physician
- Hawkinsville, GA
- NPI 1245662527
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
-
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1033489687
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1174968069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BLYTHE BVLD.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-355-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BVLD.",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-355-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHEZ",
"first_name": "JONATHAN",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME147193",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "192308",
"primary": true
}
],
"identifiers": [],
"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 Sep 7, 2022; 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.