Individual provider Active NPI

Matthew D. Acampora, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1497728174
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9400402 Issued in NC
Practice address
8035 Providence Rd
Suite 315
Charlotte, NC 28277-9716
Phone
(704) 366-0080
Fax
(704) 366-0779
NPI assigned
Feb 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9400402 NC Primary

Addresses

Primary practice location

8035 Providence Rd
Suite 315
Charlotte, NC 28277-9716

Mailing address

8035 Providence Rd
Suite 315
Charlotte, NC 28277-9716
Phone (704) 366-0080

Other identifiers 2

IdentifierTypeStateIssuer
1062COtherNCBCBS
891062CMedicaidNC

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
I20050131000143 NC Practitioner - Internal Medicine 1254381999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballantyne Medical Associates PLLCGroup PAC ID 6305949223, 6 clinicians

Practice addresses (Care Compare)

15640 Don Lochman LN
Suite a
Charlotte, NC 28277-4793
Phone (704) 540-1640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9300325NCMDInternal Medicine Physician
9400402NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballantyne Medical Associates PLLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

15640 Don Lochman Ln
Ste A
Charlotte, NC 28277
Phone (704) 540-1640

12311 Copper Way
Ste 100
Charlotte, NC 28277
Phone (704) 316-2916

Organizations & group practices 1

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.

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": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1497728174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 PROVIDENCE RD",
            "address_2": "SUITE 315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779716",
            "telephone_number": "704-366-0080",
            "fax_number": "704-366-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 PROVIDENCE RD",
            "address_2": "SUITE 315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779716",
            "telephone_number": "704-366-0080",
            "fax_number": "704-366-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACAMPORA",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1062C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891062C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.