NPIMap

Individual provider Active NPI

Martin J Carignan, MD

  • Surgery Physician
  • Huntersville, NC
National Provider Identifier
1497961155
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2013-00133 Issued in NC
Practice address
14330 Oakhill Park LN Ste 125
Huntersville, NC 28078-3481
Phone
(704) 659-4499
Fax
(800) 878-1090
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X L2735 AL
Vascular Surgery Physician 2086S0129X 2013-00133 NC
Surgery Physician 208600000X 2013-00133 NC Primary

Addresses

Primary practice location

14330 Oakhill Park LN Ste 125
Huntersville, NC 28078-3481

Mailing address

14330 Oakhill Park LN Ste 125
Huntersville, NC 28078-3481
Phone (704) 659-4499

Other identifiers 3

IdentifierTypeStateIssuer
1512759MedicaidTN
4225350OtherTNBCBS
1497961155MedicaidCA

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
I20130725000694 NC Practitioner - Vascular SurgeryPractitioner - General Surgery 6103812383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Carolinas Vein and Vascular Solutions PLLCGroup PAC ID 0446687115, 3 clinicians

Practice addresses (Care Compare)

14330 Oakhill Park LN
Suite 125
Huntersville, NC 28078-3481
Phone (704) 659-6808

150 Fairview Rd
Suite 120
Mooresville, NC 28117-9505
Phone (704) 659-4499

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal253
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44118TNMDPharmacist
L2735ALMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Vein & Vascular Solutions, PLLC Surgery CurrentSince Dec 1, 2019 Accepting new patients
Orange County Vascular Access, a Medical Corporation PastSince Nov 9, 2021 Accepting new patients
Lexington Medical Center Past Accepting new patients
Cleveland Medical Clinic Inc Past Accepting new patients
Kevin L. Sullivan MD, PC PastSince Mar 22, 2020 Accepting new patients
Vascular Access Center of Atlanta LLC Past Accepting new patients

Locations

14330 Oakhill Park Ln
Ste 125
Huntersville, NC 28078
Phone (704) 659-4499

150 Fairview Rd
Ste 120
Mooresville, NC 28117
Phone (704) 659-4499

Interoperability endpoints

  • Direct secure messaging: mcarignan193210@direct.novanthealth.org

Organizations & group practices 6

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 5

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1497961155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN STE 125",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783481",
            "telephone_number": "704-659-4499",
            "fax_number": "800-878-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN STE 125",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783481",
            "telephone_number": "704-659-4499",
            "fax_number": "800-878-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIGNAN",
        "first_name": "MARTIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "L2735",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "2013-00133",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2013-00133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512759",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4225350",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497961155",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.