Individual provider Active NPI

Martin John Kreshon Jr., MD

  • Cardiovascular Disease Physician
  • Monroe, NC
National Provider Identifier
1285671735
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34065 Issued in NC
Practice address
1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone
(704) 226-0599
Fax
(704) 226-0599
NPI assigned
Jun 1, 2006
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34065 NC Primary
Cardiovascular Disease Physician 207RC0000X 19297 SC

Addresses

Primary practice location

1640 E Roosevelt Blvd
Monroe, NC 28112-4017

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800

Other identifiers 5

IdentifierTypeStateIssuer
895031BMedicaidNC
5031BOtherNCBCBS
N34065MedicaidSC
P00612427OtherNCRR MEDICARE
P00728483OtherNCRR MEDICARE SANGER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkreshon34667@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
I20071103000081 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850488073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179

PO Box
Charlotte, NC 28260

PO Box
Suite 11549
Winston Salem, NC 27116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Dec 3, 2011 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2009 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Sep 19, 2020 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Apr 1, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 1, 2009 Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients
Carolinas Physicians Network Inc Cardiovascular Disease Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 1, 2009 Accepting new patients
Novant Health Rowan Medical Center LLC CurrentSince Apr 1, 2017 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2010 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2010 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 9, 2023 Accepting new patients

Locations (25 of 26)

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 200
Charlotte, NC 28204

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (704) 542-0744

1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

309 S Sharon Amity Rd
Ste 200
Charlotte, NC 28211
Phone (704) 344-8846

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

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

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

6030 W Highway 74
Ste E
Indian Trail, NC 28079
Phone (704) 246-2889

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

1640 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 226-0500

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

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

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

Interoperability endpoints

  • Direct secure messaging: mkreshon34667@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1285671735",
    "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": "704-343-9800",
            "fax_number": "704-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124017",
            "telephone_number": "704-226-0599",
            "fax_number": "704-226-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESHON",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "34065",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "19297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895031B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5031B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N34065",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00612427",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE SANGER",
            "identifier": "P00728483",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkreshon34667@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1640 E Roosevelt Blvd",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281124017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.