Active NPI
Vinod Kumar Doultani, MD
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2009-01010
- Practice address
- 10628 Park Rd
Charlotte, NC 28210-8407 - Phone
- (704) 667-7070
- NPI assigned
- Sep 4, 2008
- Last updated
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2009-01010 | NC | |
| Internal Medicine Physician | 207R00000X | 2009-01010 | NC | Primary |
Addresses
Primary practice location
10628 Park Rd
Charlotte, NC 28210-8407
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
920 Church St N
Suite 255
Concord, NC 28025-2927
Phone (704) 403-1331
Other practice location 2
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6241
Other practice location 3
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720
Other practice location 4
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-6070
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | vkumar163097@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-01010 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Physicians Eldercare PA | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group South Carolina | Internal Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| Curana Health Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| App of South Carolina Ed PLLC | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Internal Medicine | Current | Accepting new patients |
| CH Specialty Services SC LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Hospitalist | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Curana Health of South Carolina PC | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| MD Med Inc | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
920 Church St N
Ste 255
Concord, NC 28025
Phone (704) 403-1331
4505 Falls of Neuse Rd
Ste 650
Raleigh, NC 27609
Phone (919) 877-9959
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- vkumar163097@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 17
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.
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
-
dba Atrium Health Pineville
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1487802377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108407",
"telephone_number": "704-667-7070"
}
],
"practiceLocations": [
{
"address_1": "920 Church St N",
"address_2": "Suite 255",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252927",
"country_code": "US",
"telephone_number": "704-403-1331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 N Tryon St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623300",
"country_code": "US",
"telephone_number": "704-863-6241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-0720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Vail Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071248",
"country_code": "US",
"telephone_number": "704-304-6070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOULTANI",
"first_name": "VINOD",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2024-07-15",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2009-01010",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2009-01010",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vkumar163097@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "10628 Park Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282108407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.