Individual provider Active NPI

Nikhila Deo Schroeder, M.D., M.ENG.

  • Allergy & Immunology Physician
  • Charlotte, NC
National Provider Identifier
1194968701
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2017-02476 Issued in NC
Practice address
300 East Blvd Ste B4
Charlotte, NC 28203-4890
Phone
(704) 750-0461
Fax
(516) 403-9233
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2017-02476 NC Primary
Allergy & Immunology Physician 207K00000X 62642-20 WI

Addresses

Primary practice location

300 East Blvd Ste B4
Charlotte, NC 28203-4890

Mailing address

300 East Blvd Ste B4
Charlotte, NC 28203-4890
Phone (704) 750-0461

Other names 1

  • Nikhila Deo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 23, 2018 through May 23, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-02476NCMDAllergy & Immunology Physician
62642-20WIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergenuity Health Associates PLLC Allergy & Immunology CurrentSince May 10, 2020 Accepting new patients

Locations

2132 Lombardy Cir
Charlotte, NC 28203
Phone (704) 750-0461

300 East Blvd
Ste B4
Charlotte, NC 28203
Phone (704) 750-0461

Interoperability endpoints

  • Direct secure messaging: nikhila.schroeder@126610368626692.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1194968701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST BLVD STE B4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034890",
            "telephone_number": "704-750-0461",
            "fax_number": "516-403-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST BLVD STE B4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034890",
            "telephone_number": "704-750-0461",
            "fax_number": "516-403-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "NIKHILA",
        "middle_name": "DEO",
        "name_prefix": "Dr.",
        "credential": "M.D., M.ENG.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2017-02476",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "62642-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKHILA",
            "last_name": "DEO",
            "credential": "M.D., M.ENG.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.