Individual provider Active NPI

Jacob Cameron Hartz, MD, MPH

  • Pediatric Cardiology Physician
  • Charlotte, NC
National Provider Identifier
1669798534
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
165196 Issued in NC
Practice address
1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5863
Phone
(704) 373-1813
Fax
(704) 342-5871
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 165196 NC Primary

Addresses

Primary practice location

1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5863

Mailing address

1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5863
Phone (704) 373-1813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20130814000554 NC Practitioner - Pediatric Medicine 4082856455 Reassigns benefits to 2 organizations
I20251204001398 SC Practitioner - Pediatric Medicine 4082856455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of New Mexico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

1001 Blythe Blvd
Suite 500
Charlotte, NC 28203-5863
Phone (704) 373-1813

13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 512-6100

1656 Riverchase Blvd
Suite 3400
Rock Hill, SC 29732-0273
Phone (704) 373-1813

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165196NCMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Sep 1, 2025 Accepting new patients
Carolinas Physicians Network Inc. Pediatric Cardiology CurrentSince Sep 3, 2024 Accepting new patients
Boston Childrens Heart Foundation Inc Pediatric Cardiology CurrentSince Jul 1, 2018 Accepting new patients
Carolinas Physicians Network Inc Pediatric Cardiology CurrentSince Sep 29, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 3, 2024 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100

13640 Steelecroft Pkwy
Charlotte, NC 28278
Phone (704) 512-5500

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

100 Medical Park Dr
Ste 310
Concord, NC 28025
Phone (704) 403-2860

1781 Tate Blvd SE
Ste 203
Hickory, NC 28602
Phone (704) 381-3970

9625 Northcross Center Ct
Ste 102
Huntersville, NC 28078
Phone (704) 403-2860

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

1656 Riverchase Blvd
Ste 3400
Rock Hill, SC 29732
Phone (803) 328-6281

Interoperability endpoints

  • Direct secure messaging: jhartz2901101@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jhartz27859@direct.bostonchildrens.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1669798534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BLYTHE BLVD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035863",
            "telephone_number": "704-373-1813",
            "fax_number": "704-342-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BLYTHE BLVD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035863",
            "telephone_number": "704-373-1813",
            "fax_number": "704-342-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "JACOB",
        "middle_name": "CAMERON",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "165196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.