NPIMap

Individual provider Active NPI

Nicholas J Fitzsimons, MD

  • Urology Physician
  • Charlotte, NC
National Provider Identifier
1275708125
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
117286 Issued in NC
Practice address
10650 Park Rd
Suite # 320
Charlotte, NC 28210-8538
Phone
(704) 541-8207
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 117286 NC Primary

Addresses

Primary practice location

10650 Park Rd
Suite # 320
Charlotte, NC 28210-8538

Mailing address

PO Box 36488
Charlotte, NC 28236-6488
Phone (704) 248-3400

Other identifiers 1

IdentifierTypeStateIssuer
N01705MedicaidSC

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
I20090917000357 NC Practitioner - Urology 5395891279 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Institute of the Carolinas LLCGroup PAC ID 3173412533, 29 clinicians
Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians

Practice addresses (Care Compare)

215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120

325 Hawthorne LN
Suite 300
Charlotte, NC 28204-2433
Phone (704) 372-5180

Hospital & facility affiliations

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
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117286NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Feb 11, 2010 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Jan 3, 2010 Accepting new patients
The Presbyterian Hospital CurrentSince Dec 16, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Feb 11, 2010 Accepting new patients
Urology Specialists of the Carolinas PLLC Urology CurrentSince Oct 1, 2009 Accepting new patients
Carolinas Pathology Group, PA Current Accepting new patients
Carolinas Medical Center Current Accepting new patients
The Presbyterian Hospital CurrentSince Dec 16, 2022 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

125 Queens Rd
Ste 420
Charlotte, NC 28204
Phone (980) 302-6450

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

10650 Park Rd
Ste 320
Charlotte, NC 28210
Phone (704) 248-3400

325 Hawthorne Ln
Ste 300
Charlotte, NC 28204
Phone (704) 372-5180

Interoperability endpoints

  • Direct secure messaging: nfitzsimons@urologyspecialistsnc.emadirect.md
  • Direct secure messaging: nfitzsimons537225@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: nfitzsimons78780@direct.novanthealth.org

Organizations & group practices 8

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1275708125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36488",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282366488",
            "telephone_number": "704-248-3400",
            "fax_number": "704-337-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 PARK RD",
            "address_2": "SUITE # 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108538",
            "telephone_number": "704-541-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMONS",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "117286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01705",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.