Active NPI
Ali Daneshmand, M.D.
- Neurocritical Care Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 2020-03716
- 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, 2024
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100072106 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NC, AR, IN, AL, CT, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-17601 | AR | MD | Neurocritical Care Physician |
| 280967 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Neurology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | 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 | Current | Accepting new patients |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Boston University Neurology Associates, Inc. | Neurology | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Neurology | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Hartford Hospital | Neurology | Current | Accepting new patients |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Novant Medical Group, Inc | Neurology | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | 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
- adaneshmand119837@direct.bmc.masshiway.net
- 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.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Neurology Physician
- Boston, MA
- NPI 1528005436
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Transitional Care Center and Stabilization Care Center
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
dba South Boston Community Health Center
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
dba Greater Roslindale Medical and Dental Center
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
dba Dorchester House Multi Service Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
dba East Boston Neighborhood Health Center
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.