Individual provider Active NPI

Marshall Silverman, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1669435749
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9801773 Issued in NC
Practice address
6115 Park South Dr
Suite 100
Charlotte, NC 28210-3269
Phone
(704) 554-8787
Fax
(704) 554-8774
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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 9801773 NC Primary

Addresses

Primary practice location

6115 Park South Dr
Suite 100
Charlotte, NC 28210-3269

Mailing address

6115 Park South Dr
Ste 100
Charlotte, NC 28210-3281
Phone (704) 554-8787

Other identifiers 1

IdentifierTypeStateIssuer
891176TMedicaidNC

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
I20040927000876 NC Practitioner - Internal Medicine 7416847835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare PLLCGroup PAC ID 3476678053, 15 clinicians

Practice addresses (Care Compare)

6115 Park S Dr
Suite 100
Charlotte, NC 28210-3269

6115 Park S Dr
Suite 100
Charlotte, NC 28210-3281
Phone (704) 554-8787

Hospital & facility affiliations

  • The Stewart Health Center Nursing home, Charlotte, NC, CCN 345495

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
64.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare PLLC Internal Medicine CurrentSince Jul 5, 2011 Accepting new patients

Locations

6115 Park South Dr
Ste 100
Charlotte, NC 28210
Phone (704) 554-8787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19260/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marshall.silverman.1@19260.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1555891200000",
    "number": "1669435749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 PARK SOUTH DR",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103281",
            "telephone_number": "704-554-8787",
            "fax_number": "704-554-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PARK SOUTH DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103269",
            "telephone_number": "704-554-8787",
            "fax_number": "704-554-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9801773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891176T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.