Rostislav Markovich Beyder, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7004 Smith Corners Blvd Ste a
Charlotte, NC 28269-3827

Phone

(704) 688-9650

Fax

(704) 688-9651

NPI assigned

Sep 22, 2011

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinas Pain Center PLLCGroup PAC ID 0446420525, 7 clinicians

Promed Healthcare PLLCGroup PAC ID 0749366607, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbeyder@painccc.curemd.direct-ci.com
• Direct secure messaging: rostislav.beyder.1@22472.direct.athenahealth.com

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.

• Carolinas Pain Center PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Huntersville, NC
  • NPI 1912292335
  Medicare reassignment Care Compare group NPD
• Promed Healthcare, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1770615114
  Medicare reassignment Care Compare group NPD
• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Gastonia, NC
  • NPI 1316367691
  Medicare reassignment NPD
• Amity Medical Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1003301300
  Medicare reassignment
• Pavana Treatment Group, P.C.

  • Addiction Medicine (Anesthesiology) Physician
  • Gastonia, NC
  • NPI 1043849896
  Medicare reassignment
• Central Arizona Gastroenterology PC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1093518995
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Presbyterian Hospital

  dba Novant Health Huntersville Medical Center

  • General Acute Care Hospital
  • Huntersville, NC
  • NPI 1346291309
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1528341864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693827",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693827",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Copperfield Blvd NE Ste 124",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252454",
            "country_code": "US",
            "telephone_number": "704-688-9641",
            "fax_number": "704-688-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYDER",
        "first_name": "ROSTISLAV",
        "middle_name": "MARKOVICH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NC LICENSE NUMBER",
            "identifier": "0010-03655",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Bewley, M.D.
• Emily Bey
• Isis A Bey, MSW, LCSW
• Maris Bey, LCSWA
• Sermetut E Bey
• Liya Beyderman, MD
• Tracy Beyer, LAT, ATC
• Beyond Patterns PLLC
• Beyond Precious
• Beyond Roots, PLLC

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.