Individual provider Active NPI

Joanna Monika Wroblewska-Shah, MD

  • Pain Medicine (Anesthesiology) Physician
  • Huntersville, NC
National Provider Identifier
1376706390
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2010-01197 Issued in NC
Practice address
9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9118
Phone
(704) 500-2332
Fax
(888) 511-8009
NPI assigned
Jul 9, 2008
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2010-01197 NC Primary

Addresses

Primary practice location

9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9118

Mailing address

9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9118
Phone (704) 500-2332

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
I20101021001036 NC Practitioner - Pain ManagementPractitioner - Anesthesiology 3375698822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Pain Center PLLCGroup PAC ID 0446420525, 7 clinicians

Practice addresses (Care Compare)

9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9120
Phone (704) 500-2332

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
87.25
Improvement activities
40
Cost
86.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pain Center PLLC Pain Medicine CurrentSince Jun 13, 2011 Accepting new patients
Anesthetix of Lexington, PLLC Past Accepting new patients

Locations

10826 Mallard Creek Rd
Ste 200
Charlotte, NC 28262
Phone (423) 343-7034

9735 Kincey Ave
Ste 100
Huntersville, NC 28078
Phone (704) 500-2332

Interoperability endpoints

  • Direct secure messaging: jwroblewskashah100912@direct.novanthealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1376706390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-500-2332",
            "fax_number": "888-511-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-500-2332",
            "fax_number": "888-511-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLEWSKA-SHAH",
        "first_name": "JOANNA",
        "middle_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2010-01197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.