Mohammad R. Bolouri, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

200400301 Issued in NC

Practice address

7809 Sardis Rd
Charlotte, NC 28270-2757

Phone

(704) 364-4000

Fax

(704) 364-4005

NPI assigned

May 15, 2006

Last updated

May 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Neurology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alzheimer's Memory CenterGroup PAC ID 8022188549, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@anineurology.e-mdsdirect.com
• Direct secure messaging: mohammad-bolouri@anineurology.e-mdsdirect.com

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.

• Alzheimer's Memory Center

  • Contractor
  • Matthews, NC
  • NPI 1457530057
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health Matthews Medical Center LLC

  dba Novant Health Matthews Medical Center

  • General Acute Care Hospital
  • Matthews, NC
  • NPI 1063463156
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1659322691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 SARDIS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702757",
            "telephone_number": "704-364-4000",
            "fax_number": "704-364-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 SARDIS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702757",
            "telephone_number": "704-364-4000",
            "fax_number": "704-364-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOURI",
        "first_name": "MOHAMMAD",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200400301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Ann Bolling, P.A.
• Katherine Isabella Bollinger, DPT
• Skyler Jane Bollinger, MA CCC-SLP
• Joy Rosamond Bolly, LPC
• Sabrina Elsje Bologna, PA-C
• Kelley Bolton, PSY.D.
• Michael Anthony Bomar II, MSW, LCSW, LISW-CP
• Bomray Medical Clinic (PrimeCare Medical Center)
• Bon Laboratory Services Inc
• Amy Bonadies

• Neurology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.

Verify at the official NPI Registry.