Individual provider Active NPI

Nizar Darwish Noureddine, M.D.

  • Interventional Cardiology Physician
  • Winston Salem, NC
National Provider Identifier
1659334530
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2005-01959 Issued in NC
Practice address
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 277-2000
Fax
(336) 277-2050
NPI assigned
Apr 10, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 121755 NC
Cardiovascular Disease Physician 207RC0000X 2005-01959 NC
Interventional Cardiology Physician 207RI0011X 2005-01959 NC Primary

Addresses

Primary 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

IdentifierTypeStateIssuer
1659334530MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnoureddine29800@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120821000231 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547455867 Reassigns benefits to 1 organization
I20120821000267 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547455867 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
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, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Medical Park Hospital LLCGroup PAC ID 4880595958, 109 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121755NCMDInternal Medicine Physician
2005-01959NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Hospital LLC CurrentSince Oct 9, 2012 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Mar 31, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc CurrentSince Oct 9, 2012 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease CurrentSince May 21, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
American Healthcare Systems, LLC Cardiovascular Disease CurrentSince Oct 16, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince May 21, 2014 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Sep 19, 2020 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Mar 1, 2016 Accepting new patients
Novant Health Rowan Medical Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Medical Park Hospital LLC CurrentSince Oct 9, 2012 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Mar 31, 2019 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince May 21, 2014 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 18, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Oct 9, 2012 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

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 200
Charlotte, NC 28204

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-2670

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

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

1710 Kernersville Medical Pkwy
Ste 205
Kernersville, NC 27284
Phone (336) 983-4500

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

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

185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

Interoperability endpoints

  • Direct secure messaging: nnoureddine29800@direct.novanthealth.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "121755",
            "primary": false
        },
        {
            "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
        }
    ],
    "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

Verify at the official NPI Registry.