NPIMap

Individual provider Active NPI

Sameer Sadashiv Chaudhari, M.D.

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1467680918
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2017-01100 Issued in NC
Practice address
15830 Ballantyne Medical PL Ste 275
Charlotte, NC 28277-4791
Phone
(980) 302-8659
Fax
(980) 302-8674
NPI assigned
Jun 23, 2009
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 2017-01100 NC
Internal Medicine Physician 207R00000X P23983 MD
Cardiovascular Disease Physician 207RC0000X 2017-01100 NC Primary

Addresses

Primary practice location

15830 Ballantyne Medical PL Ste 275
Charlotte, NC 28277-4791

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-8659

Other practice location 1

1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105-5403
Phone (704) 264-3500

Other practice location 2

1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schaudhari440050@direct.novanthealth.org

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
I20171010002802 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5890942429 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Indiana University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 200
Mooresville, NC 28117-7571

10905 Providence Rd W
Charlotte, NC 28277-3644
Phone (980) 488-4000

1401 Matthews Township Pkwy
Suite 110
Matthews, NC 28105-5403
Phone (704) 264-3500

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

8201 Health Loop
Charlotte, NC 28215-7072
Phone (980) 302-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P23983MDMDInternal Medicine Physician
2017-01100NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2017 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Mar 24, 2018 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Novant Medical Group, Inc Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2017 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Aug 23, 2023 Accepting new patients
NJ Acute Care Specialists Professional Corporation Internal Medicine Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

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

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

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

125 Queens Rd
Ste 200
Charlotte, NC 28204

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

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

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (704) 542-0744

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

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

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

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

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

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

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

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

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

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

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

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

1640 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 226-0500

106 Langtree Village Dr
Ste 200
Mooresville, NC 28117
Phone (704) 316-5570

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

2915 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 760-0558

Interoperability endpoints

  • Direct secure messaging: schaudhari440050@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1467680918",
    "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": "980-302-8659",
            "fax_number": "980-302-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL STE 275",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774791",
            "telephone_number": "980-302-8659",
            "fax_number": "980-302-8674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Matthews Township Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055403",
            "country_code": "US",
            "telephone_number": "704-264-3500",
            "fax_number": "704-417-4989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 E Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124017",
            "country_code": "US",
            "telephone_number": "704-226-0500",
            "fax_number": "704-226-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "SAMEER",
        "middle_name": "SADASHIV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-01100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P23983",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2017-01100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schaudhari440050@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1401 Matthews Township Pkwy Ste 110",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.