Active NPI
Martin Bernard Cutrone Jr., MD
- Cardiovascular Disease Physician
- Charlotte, NC
National Provider Identifier
1619975752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 200301104
- Practice address
- 14035 Grandiflora Dr
Charlotte, NC 28278-8456 - Phone
- (704) 316-1074
- Fax
- (704) 316-1077
- NPI assigned
- Jul 12, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200301104 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 2003-01104 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 200301104 | NC | Primary |
Addresses
Primary practice location
14035 Grandiflora Dr
Charlotte, NC 28278-8456
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1074
Other practice location 1
1718 E 4th St Ste 501
Charlotte, NC 28204-3197
Phone (704) 343-9800
Other practice location 2
13425 Hoover Creek Blvd
Ste 101
Charlotte, NC 28273-0054
Phone (704) 343-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N01104 | Medicaid | SC | |
| 89135EF | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcutrone34622@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003-01104 | NC | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Past | Accepting new patients | |
| Paul E Lemanski MD PLLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- mcutrone34622@direct.novanthealth.org
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.
-
- Specialist
- Charlotte, NC
- NPI 1669535977
-
- Internal Medicine Physician
- Albany, NY
- NPI 1447720271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1619975752",
"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": "704-316-1074",
"fax_number": "704-316-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14035 GRANDIFLORA DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282788456",
"telephone_number": "704-316-1074",
"fax_number": "704-316-1077"
}
],
"practiceLocations": [
{
"address_1": "1718 E 4th St Ste 501",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043197",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13425 Hoover Creek Blvd",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282730054",
"country_code": "US",
"telephone_number": "704-343-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUTRONE",
"first_name": "MARTIN",
"middle_name": "BERNARD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200301104",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2003-01104",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "200301104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01104",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89135EF",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcutrone34622@direct.novanthealth.org",
"affiliation": "N",
"address_1": "4500 Cameron Valley Pkwy Ste 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282113542",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.