Individual provider Active NPI

Sharien Mahtani, DO

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1447793567
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201700756 Issued in NC
Practice address
8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072
Phone
(980) 302-3050
Fax
(980) 302-3055
NPI assigned
Nov 21, 2016
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U03901 FL
Internal Medicine Physician 207R00000X 201700756 NC Primary

Addresses

Primary practice location

8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-3050

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
I20170718001211 NC Practitioner - Internal Medicine 2466722863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Optimed HospitalistsGroup PAC ID 8022204171, 47 clinicians

Practice addresses (Care Compare)

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U03901FLMDInternal Medicine Physician
201700756NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimed Hospitalists CurrentSince Aug 1, 2020 Accepting new patients
Caromont Medical Group Inc Internal Medicine Current Accepting new patients
Optimed Hospitalists Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Caromont Medical Group, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Caromont Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

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 1

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1447793567",
    "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": "980-302-3050",
            "fax_number": "980-302-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHTANI",
        "first_name": "SHARIEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "U03901",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201700756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.