Active NPI
Sara Beth Bluestein, MD
- Allergy & Immunology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 2021-01598
- Practice address
- 4525 Cameron Valley Pkwy
Ste 2100
Charlotte, NC 28211-4369 - Phone
- (704) 355-5100
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2021-01598 | NC | |
| Allergy & Immunology Physician | 207K00000X | 2021-01598 | NC | Primary |
Addresses
Primary practice location
4525 Cameron Valley Pkwy
Ste 2100
Charlotte, NC 28211-4369
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
10650 Park Rd
Charlotte, NC 28210-8538
Phone (704) 667-3960
Other practice location 2
101 E W T Harris Blvd
Ste 3301
Charlotte, NC 28262-3485
Phone (704) 863-1420
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | sbluestein56197@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1620 Mulkey Rd
Suite 100
Austell, GA 30106-1171
Phone (770) 948-3774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01598 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Allergy & Asthma Clinic PA | Allergy & Immunology | Current | Accepting new patients |
Locations
2300 Henderson Mill Rd NE
Ste 230
Atlanta, GA 30345
Phone (770) 491-9300
1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774
100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000
114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723
500 Northridge Rd
Ste 400
Sandy Springs, GA 30350
Phone (470) 508-5343
1600 Medical Way
Ste 200
Snellville, GA 30078
Phone (770) 979-7466
830 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281
Phone (478) 746-2888
Interoperability endpoints
- sbluestein56197@carolinashealthcaresystem.direct-ci.com
- https://fhir4.healow.com/fhir/r4/HJBFBA
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.
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1598796195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1669834784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 CAMERON VALLEY PKWY",
"address_2": "STE 2100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114369",
"telephone_number": "704-355-5100"
}
],
"practiceLocations": [
{
"address_1": "10650 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-667-3960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E W T Harris Blvd",
"address_2": "Ste 3301",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-863-1420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUESTEIN",
"first_name": "SARA",
"middle_name": "BETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2021-01598",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NC",
"license": "2021-01598",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbluestein56197@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Ste 2100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282114369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.