NPIMap

Individual provider Active NPI

Karim Tazi, MD

  • Medical Oncology Physician
  • Huntersville, NC
National Provider Identifier
1417162108
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2022-00630 Issued in NC
Practice address
10030 Gilead Rd Ste 350
Huntersville, NC 28078-7545
Phone
(980) 302-7100
Fax
(980) 302-7105
NPI assigned
May 14, 2007
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 33345 SC
Hematology & Oncology Physician 207RH0003X 2022-00630 NC
Medical Oncology Physician 207RX0202X 2022-00630 NC Primary

Addresses

Primary practice location

10030 Gilead Rd Ste 350
Huntersville, NC 28078-7545

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

401 E Cheves St
Suite 201
Florence, SC 29506-2615
Phone (843) 777-7951

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
I20220701002491 NC Practitioner - Hematology/Oncology 3971677956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

10030 Gilead Rd
Huntersville, NC 28078-7545
Phone (336) 277-8757

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
The Presbyterian Hospital CurrentSince Jun 1, 2022 Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Jun 1, 2022 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Novant Health Medical Group Coastal Region, LLC Hematology & Oncology Past Accepting new patients

Locations

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

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

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

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

10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946

Interoperability endpoints

  • Direct secure messaging: ktazi1058170@direct.novanthealth.org

Organizations & group practices 5

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 7

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1417162108",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 GILEAD RD STE 350",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787545",
            "telephone_number": "980-302-7100",
            "fax_number": "980-302-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Cheves St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062615",
            "country_code": "US",
            "telephone_number": "843-777-7951",
            "fax_number": "843-777-7981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAZI",
        "first_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "33345",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2022-00630",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2022-00630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.