Individual provider Active NPI

Ali Daneshmand, M.D.

  • Neurocritical Care Physician
  • Charlotte, NC
National Provider Identifier
1619316650
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
2020-03716 Issued in NC
Practice address
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone
(704) 384-9437
Fax
(704) 384-9440
NPI assigned
Jun 24, 2013
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2020-03716 NC
Neurology Physician 2084N0400X E-17601 AR
Neurocritical Care Physician 2084A2900X 2020-03716 NC Primary
Neurology Physician 2084N0400X 280967 MA
Neurology Physician 2084N0400X 62436 MN
Neurocritical Care Physician 2084A2900X 280967 MA
Neurocritical Care Physician 2084A2900X 62436 MN
Neurocritical Care Physician 2084A2900X E-17601 AR

Addresses

Primary practice location

200 Hawthorne LN
Charlotte, NC 28204-2515

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9437

Other practice location 1

725 Albany St
Shapiro 7, Suite B
Boston, MA 02118
Phone (617) 638-8456

Other practice location 2

4301 W Markham St # 500
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other identifiers 1

IdentifierTypeStateIssuer
100072106MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC, AR, IN, AL, CT, NJ7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20191007000977 MA Practitioner - Neurology 9436448289 Reassigns benefits to 3 organizations
I20201016001998 NC Practitioner - Internal MedicinePractitioner - Neurology 9436448289 Reassigns benefits to 3 organizations
I20240227000971 AR Practitioner - Neurology 9436448289 Reassigns benefits to 1 organization
I20241002001464 IN Practitioner - NeurologyPractitioner - Psychiatry 9436448289 Reassigns benefits to 2 organizations
I20241226001013 AL Practitioner - Neurology 9436448289 Reassigns benefits to 1 organization
I20250205002070 CT Practitioner - Neurology 9436448289 Reassigns benefits to 1 organization
I20250403000887 NJ Practitioner - Neurology 9436448289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston University Neurology Associates IncGroup PAC ID 6608772462, 60 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8456

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

3220 Beacon Pkwy
Granger, IN 46530-7196
Phone (574) 999-8838

3221 Beacon Pkwy
Granger, IN 46530-7196
Phone (574) 647-1670

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5748

3500 Franciscan Way
Suite 300
Michigan City, IN 46360-0021
Phone (219) 878-8326

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

615 N Michigan St
South Bend, IN 46601-1033

615 N Michigan St FL
South Bend, IN 46601-1033

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

725 Albany St
Suite 7B
Boston, MA 02118-3549
Phone (617) 638-8456

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-17601ARMDNeurocritical Care Physician
280967MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC Neurology CurrentSince May 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 31, 2024 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Aug 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Feb 10, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 31, 2024 Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Oct 1, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Atlanticare Physician Group PA CurrentSince Feb 24, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Oct 1, 2024 Accepting new patients
Beacon Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Mar 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Forsyth Memorial Hospital Inc Neurology CurrentSince Jan 1, 2021 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Feb 24, 2025 Accepting new patients
Boston University Neurology Associates, Inc. Neurology CurrentSince Oct 13, 2019 Accepting new patients
Beacon Medical Group, Inc. Neurology CurrentSince Apr 1, 2025 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Hartford Hospital Neurology CurrentSince Dec 2, 2024 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Aug 15, 2025 Accepting new patients
Novant Medical Group, Inc Neurology CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Feb 10, 2024 Accepting new patients
Hartford Hospital CurrentSince Dec 2, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2020 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 1, 2024 Accepting new patients

Locations (25 of 34)

500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#500
Little Rock, AR 72205
Phone (501) 296-1165

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

725 Albany St
Ste 7
Boston, MA 02118
Phone (617) 638-8456

725 Albany St
Ste B
Boston, MA 02118
Phone (617) 638-7480

736 Cambridge St
#8
Brighton, MA 02135
Phone (617) 789-2375

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1509 Doctors Cir
Bldg C
Wilmington, NC 28401
Phone (910) 662-7550

Interoperability endpoints

  • Direct secure messaging: adaneshmand119837@direct.bmc.masshiway.net
  • Direct secure messaging: adaneshmand821340@direct.novanthealth.org

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 11

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1619316650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St",
            "address_2": "Shapiro 7, Suite B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-8456",
            "fax_number": "617-638-8465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 500",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANESHMAND",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2020-03716",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-17601",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NC",
            "license": "2020-03716",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "280967",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "62436",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "MA",
            "license": "280967",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "MN",
            "license": "62436",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "AR",
            "license": "E-17601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072106",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.