Individual provider Active NPI

Josiah Jebo Zubairu, M.D

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1376954776
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2021-01204 Issued in NC
Practice address
125 Queens Rd Ste 200
Charlotte, NC 28204-3215
Phone
(704) 343-9800
Fax
(704) 347-2011
NPI assigned
May 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-43750 IA
Internal Medicine Physician 207R00000X 2021-01204 NC
Cardiovascular Disease Physician 207RC0000X 2021-01204 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 200
Charlotte, NC 28204-3215

Mailing address

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

Other practice location 1

200 Hawkins Dr
Department of Internal Medicine
Iowa City, IA 52242-1009
Phone (319) 384-9668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzubairu890229@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
I20210706000537 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496972374 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Novant Health Matthews Medical Center LLCGroup PAC ID 6406845247, 76 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 200
Charlotte, NC 28204-3215
Phone (704) 343-9800

1401 Matthews Township Pkwy
Suite 212And312
Matthews, NC 28105-5402
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01204NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 19, 2023 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

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

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

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

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

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

2701 Statesville Ave
Charlotte, NC 28206
Phone (704) 384-0500

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

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

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

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

125 Queens Rd
Ste 200
Charlotte, NC 28204

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

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

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

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

10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042

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

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

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

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: jzubairu890229@direct.novanthealth.org

Organizations & group practices 11

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 8

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1376954776",
    "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": "125 QUEENS RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043215",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-384-9668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUBAIRU",
        "first_name": "JOSIAH",
        "middle_name": "JEBO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-43750",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-01204",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2021-01204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzubairu890229@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.