NPIMap

Individual provider Active NPI

Sanjay S Iyer, MD

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1376561472
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2006-00999 Issued in NC
Practice address
411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Phone
(704) 577-3186
Fax
(704) 626-2701
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2006-00999 NC Primary

Addresses

Primary practice location

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066

Mailing address

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Phone (704) 577-3186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sanjay.iyer.1@17840.direct.athenahealth.com Direct Charlotte Neuroscience Foundation

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
I20061017000287 NC Practitioner - NeurologyPractitioner - Internal Medicine 7416933072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charlotte Neuroscience FoundationGroup PAC ID 7214205277, 5 clinicians
The Weston Group IncGroup PAC ID 8123936796, shared by 8 NPIs, 215 clinicians

Practice addresses (Care Compare)

411 Billingsley Rd
Suite 103
Charlotte, NC 28211-1066
Phone (704) 577-3186

7745 Little Ave
Charlotte, NC 28226-8168
Phone (704) 541-9333

8919 Park Rd
FL 3
Charlotte, NC 28210-7610
Phone (704) 577-3186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as individual
Quality
85.64
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00999NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Neuroscience Foundation Neurology CurrentSince Aug 26, 2019 Accepting new patients

Locations

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

300 Billingsley Rd
Ste 108
Charlotte, NC 28211
Phone (704) 577-3186

411 Billingsley Rd
Ste 103
Charlotte, NC 28211
Phone (704) 344-1995

Interoperability endpoints

  • Direct secure messaging: sanjay.iyer.1@17840.direct.athenahealth.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.

Hospital & facility affiliations 11

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1376561472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186",
            "fax_number": "704-626-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186",
            "fax_number": "704-626-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "SANJAY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2006-00999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sanjay.iyer.1@17840.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Charlotte Neuroscience Foundation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "411 Billingsley Rd Ste 103",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.