Individual provider Active NPI

Jonathan Daniel Bouchez, M.D.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1174968069
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
192308 Issued in NC
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

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922002957 NC Practitioner - General Surgery 7517350697 Reassigns benefits to 3 organizations

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
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
The Charlotte-Mecklenburg Hospital AuthorityGroup PAC ID 2961310685, 594 clinicians

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 Hospital, Monroe, NC, CCN 340130
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147193FLMDInternal Medicine Physician
192308NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Jan 9, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Jan 9, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 9, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Taylor Regional Hospital Surgery CurrentSince Apr 3, 2022 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.