Active NPI
Daniel T. Biondi, D.O.
- Family Medicine Physician
- Denver, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2006-01409
- Practice address
- 2826 Lake Shore Rd S
Denver, NC 28037-8228 - Phone
- (704) 562-1613
- Fax
- (704) 658-0418
- NPI assigned
- May 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006-01409 | NC | Primary |
Addresses
Primary practice location
2826 Lake Shore Rd S
Denver, NC 28037-8228
Mailing address
2826 Lake Shore Rd S
Denver, NC 28037-8228
Phone (704) 562-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905122 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
135 W 10TH St
Charlotte, NC 28202-2229
Phone (704) 585-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01409 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reserve Health, PC | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
Locations
650 S Tryon St
Ste 440
Charlotte, NC 28202
Phone (704) 626-6266
135 W 10th St
Charlotte, NC 28202
Phone (704) 585-8040
131 Providence Rd
Ste 100
Charlotte, NC 28207
Phone (980) 265-8869
Interoperability endpoints
- daniel.biondi.1@13989.direct.athenahealth.com
- https://api.platform.athenahealth.com/13989/brand/1/csg/1/fhir/r4
- daniel.biondi.1@21624.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1659828291
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Denver, NC
- NPI 1639494248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1558310078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 LAKE SHORE RD S",
"city": "DENVER",
"state": "NC",
"postal_code": "280378228",
"telephone_number": "704-562-1613",
"fax_number": "704-658-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 LAKE SHORE RD S",
"city": "DENVER",
"state": "NC",
"postal_code": "280378228",
"telephone_number": "704-562-1613",
"fax_number": "704-658-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIONDI",
"first_name": "DANIEL",
"middle_name": "T.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2006-01409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905122",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.