NPIMap

Individual provider Active NPI

Ricardo Vargas, M.D.

  • Family Medicine Physician
  • Locust, NC
National Provider Identifier
1649268459
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701632 Issued in NC
Practice address
236 Market St
Suite 110
Locust, NC 28097-9437
Phone
(704) 384-9590
Fax
(704) 384-9591
NPI assigned
Oct 6, 2005
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701632 NC Primary

Addresses

Primary practice location

236 Market St
Suite 110
Locust, NC 28097-9437

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9590

Other identifiers 2

IdentifierTypeStateIssuer
Q01632MedicaidSC
891237NMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvargas5374@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000433 NC Practitioner - Family Practice 0547221244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

236 Market St
Suite 110
Locust, NC 28097-9439
Phone (704) 384-9590

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01632NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2007 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 28, 2022 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Cabarrus Family Medicine Past Accepting new patients
Cabarrus Family Medicine Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

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

5815 Blakeney Park Dr
Ste 200B
Charlotte, NC 28277
Phone (704) 316-5080

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

14330 Oakhill Park Ln
Ste 115
Huntersville, NC 28078
Phone (704) 316-1265

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

236 Market St
Ste 110
Locust, NC 28097
Phone (704) 384-9590

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

1420 E Franklin St
Monroe, NC 28112
Phone (704) 289-8427

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

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/

Organizations & group practices 12

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.

Hospital & facility affiliations 10

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1649268459",
    "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": "704-384-9590",
            "fax_number": "704-384-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 MARKET ST",
            "address_2": "SUITE 110",
            "city": "LOCUST",
            "state": "NC",
            "postal_code": "280979437",
            "telephone_number": "704-384-9590",
            "fax_number": "704-384-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q01632",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891237N",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvargas5374@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "236 Market St",
            "address_2": "Suite 110",
            "city": "Locust",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280979437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Locust, NC

Sources for this page

Verify at the official NPI Registry.