Active NPI
Nizar Darwish Noureddine, M.D.
- Interventional Cardiology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2005-01959
- Practice address
- 186 Kimel Park Dr
Winston Salem, NC 27103-6946 - Phone
- (336) 277-2000
- Fax
- (336) 277-2050
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 36
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
NC
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
NC
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
NC
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
Internal Medicine, NC
-
- General Acute Care Hospital
- Winston-Salem, NC
- NPI 1538111828
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
Hospital
-
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
Hospital
-
- General Acute Care Hospital
- Thomasville, NC
- NPI 1801848767
Hospital
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
Hospital
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- JC Edwards School of Medicine, Marshall University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLCMedical Park Hospital LLCForsyth Memorial Hospital IncAmerican Healthcare Systems LLC
Practice addresses (Care Compare)
125 Queens Rd
Suite 330
Charlotte, NC 28204-3215
Phone (704) 384-5043
1950 S Hawthorne Rd
Winston Salem, NC 27103-3912
Phone (336) 718-0600
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-8800
373 N Fayetteville St
Asheboro, NC 27203-5507
Phone (336) 626-3205
812 W Stuart Dr
Galax, VA 24333-2605
Phone (276) 238-3318
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
- Northern Regional Hospital
- Twin County Regional Hospital
- Novant Health Thomasville Medical Center
- Novant Health Medical Park Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 23 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120821000231 | VA | Practitioner - Interventional Cardiology | 0547455867 | Reassigns benefits to 1 organization |
| I20120821000267 | NC | Practitioner - Interventional Cardiology | 0547455867 | Reassigns benefits to 10 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121755 | NC | MD | Internal Medicine Physician |
| 2005-01959 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| The Presbyterian Hospital | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Ballantyne Medical Center LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Current | Accepting new patients | |
| The Presbyterian Hospital | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Rowan Medical Center LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients |
Locations (25 of 28)
237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248
373 N Fayetteville St
Asheboro, NC 27203
Phone (336) 626-0033
1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
125 Queens Rd
Ste 200
Charlotte, NC 28204
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
7114 Village Medical Cir
Clemmons, NC 27012
Phone (336) 893-2440
1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540
9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
1710 Kernersville Medical Pkwy
Ste 205
Kernersville, NC 27284
Phone (336) 983-4500
1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131
1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500
694 Riverside Dr
Mount Airy, NC 27030
Phone (336) 719-7892
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000
725 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-2620
2025 Frontis Plaza Blvd
Ste 100
Winston Salem, NC 27103
Phone (336) 718-6199
Interoperability endpoints
- nnoureddine29800@direct.novanthealth.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2005-01959 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 2005-01959 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 121755 | NC |
Addresses
NPPES NPI RegistryPrimary practice location
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 277-2000
Other practice location 1
694 Riverside Dr
Mount Airy, NC 27030-3117
Phone (336) 719-7892
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659334530 | Medicaid | VA |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nnoureddine29800@direct.novanthealth.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2024.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1659334530",
"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": "336-277-2000",
"fax_number": "336-277-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 KIMEL PARK DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036946",
"telephone_number": "336-277-2000",
"fax_number": "336-277-2050"
}
],
"practiceLocations": [
{
"address_1": "694 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "NC",
"postal_code": "270303117",
"country_code": "US",
"telephone_number": "336-719-7892",
"fax_number": "336-719-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOUREDDINE",
"first_name": "NIZAR",
"middle_name": "DARWISH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2005-01959",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2005-01959",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "121755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659334530",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nnoureddine29800@direct.novanthealth.org",
"affiliation": "N",
"address_1": "694 Riverside Dr",
"city": "Mount Airy",
"state": "NC",
"country_code": "US",
"postal_code": "270303117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.