Individual provider Active NPI

Amin Charania, MD

  • Internal Medicine Physician
  • Concord, NC
National Provider Identifier
1639174295
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
98-01618 Issued in NC
Practice address
1000 Copperfield Blvd NE
Suite 124
Concord, NC 28025-2453
Phone
(704) 782-6868
Fax
(704) 782-7585
NPI assigned
Jun 20, 2005
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 98-01618 NC Primary

Addresses

Primary practice location

1000 Copperfield Blvd NE
Suite 124
Concord, NC 28025-2453

Mailing address

1000 Copperfield Blvd NE
Suite 124
Concord, NC 28025-2453
Phone (704) 782-6868

Other identifiers 1

IdentifierTypeStateIssuer
891158GMedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000522 NC Practitioner - Internal Medicine 0345245221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98-01618NCMDInternal Medicine Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1639174295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COPPERFIELD BLVD NE",
            "address_2": "SUITE 124",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252453",
            "telephone_number": "704-782-6868",
            "fax_number": "704-782-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COPPERFIELD BLVD NE",
            "address_2": "SUITE 124",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252453",
            "telephone_number": "704-782-6868",
            "fax_number": "704-782-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARANIA",
        "first_name": "AMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "98-01618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891158G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.