Active NPI
Nicole Cyrille-Superville, MD
- Cardiovascular Disease Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2018-00703
- Practice address
- 10650 Park Rd
Charlotte, NC 28210-8538 - Phone
- (704) 667-3840
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1780197335
-
- Orthopaedic Surgery Physician
- Lancaster, SC
- NPI 1962858662
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Specialist
- Charlotte, NC
- NPI 1689628158
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Vascular Surgery Physician
- Charlotte, NC
- NPI 1881624807
NPD CARDIOVASCULAR DISEASE -
- Rheumatology Physician
- Fort Mill, SC
- NPI 1750606174
NPD CARDIOVASCULAR DISEASE -
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
Care Compare affiliation Hospital -
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
Care Compare affiliation Hospital -
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Care Compare affiliation Hospital -
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Care Compare affiliation Hospital -
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Columbia University College of Physicians and Surgeons, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
100 Medical Park Dr
Suite 210
Concord, NC 28025-2966
Phone (704) 403-6100
126 Milestone Way
Greenville, SC 29615-5065
Phone (864) 675-5844
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180905001075 | NC | Practitioner - Advanced Heart Failure and Transplant Cardiology | 7012275423 | Reassigns benefits to 2 organizations |
| I20191119003357 | SC | Practitioner - Advanced Heart Failure and Transplant Cardiology | 7012275423 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-00703 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Cardiovascular Disease | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Cardiovascular Disease | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Medical Center | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
10650 Park Rd
Charlotte, NC 28210
Phone (704) 667-0337
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
1021 Morehead Medical Dr
Ste 6100
Charlotte, NC 28204
Phone (704) 355-1813
101 E Wt Harris Blvd
Ste 1213
Charlotte, NC 28262
Phone (704) 863-1950
1025 Morehead Medical Dr
Ste 600
Charlotte, NC 28204
Phone (704) 355-4062
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272
447 McAlister Rd
Ste 3200
Lincolnton, NC 28092
Phone (980) 212-6300
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405
126 Milestone Way
Greenville, SC 29615
Phone (864) 288-9936
Interoperability endpoints
- ncyrillesuperville487273@carolinashealthcaresystem.direct-ci.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018-00703 | NC | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 2018-00703 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 2018-00703 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10650 Park Rd
Charlotte, NC 28210-8538
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
101 E W T Harris Blvd
Ste 1213
Charlotte, NC 28262-3485
Phone (704) 863-1950
Other practice location 2
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
Phone (704) 373-0212
Other practice location 3
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Other practice location 4
447 McAlister Rd
Ste 3200
Lincolnton, NC 28092-4114
Phone (980) 212-6300
Electronic endpoints 2
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | ncyrillesuperville487273@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2024.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1497047633",
"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": "10650 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108538",
"telephone_number": "704-667-3840"
}
],
"practiceLocations": [
{
"address_1": "101 E W T Harris Blvd",
"address_2": "Ste 1213",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-863-1950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1237 Harding Pl",
"address_2": "Ste 3100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-373-0212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "447 McAlister Rd",
"address_2": "STE 3200",
"address_purpose": "LOCATION",
"city": "Lincolnton",
"state": "NC",
"postal_code": "280924114",
"country_code": "US",
"telephone_number": "980-212-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CYRILLE-SUPERVILLE",
"first_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2018-00703",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "NC",
"license": "2018-00703",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2018-00703",
"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": "ncyrillesuperville487273@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "10650 Park Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282108538",
"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 17, 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.