Organization Active NPI

Mecklenburg Heart Specialists, P.a.

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1295772903
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
132030 Issued in NC
Legal business name
MECKLENBURG HEART SPECIALISTS, P.A.
Practice address
2711 Randolph Road
Suite 305
Charlotte, NC 28207-2027
Phone
(704) 334-0600
Fax
(704) 334-0615
NPI assigned
Jun 1, 2006
Last updated
Feb 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Aamer A Qureshi, M.D.NPI 1043266943
Title
Owner
Phone
(704) 334-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 132030 NC Primary

Addresses

Primary practice location

2711 Randolph Road
Suite 305
Charlotte, NC 28207-2027

Mailing address

2711 Randolph Road
Suite 305
Charlotte, NC 28207-2027
Phone (704) 334-0600

Other identifiers 2

IdentifierTypeStateIssuer
017T3OtherNCBLUE CROSS GROUP NUMBER
5903252MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060605000096 NC Part B Supplier - Clinic/Group Practice 1153332275 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0969234Mecklenburg Heart Specialists2711 Randolph Road, Suite 305, Charlotte, NC 28207Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

2300 Randolph Rd
Ste B
Charlotte, NC 28207
Phone (704) 334-0600

2630 E 7th St
Ste 210
Charlotte, NC 28204
Phone (704) 334-0600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1295772903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH ROAD",
            "address_2": "SUITE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-334-0600",
            "fax_number": "704-334-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH ROAD",
            "address_2": "SUITE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-334-0600",
            "fax_number": "704-334-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG HEART SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "AAMER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-334-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "132030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "017T3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903252",
            "state": "NC"
        }
    ],
    "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 Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.