Active NPI
Steven Andronovich, PA-C
- Physician Assistant
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-09140
- Practice address
- 1500 Matthews Township Pkwy
Matthews, NC 28105-4656 - Phone
- (704) 384-9740
- Fax
- (704) 384-9565
- NPI assigned
- May 20, 2019
- Last updated
- Aug 7, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 0010-09140 | NC | Primary |
Addresses
Primary practice location
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9740
Other practice location 1
7709 Sardis Rd
Charlotte, NC 28270-2754
Phone (704) 492-2814
Other practice location 2
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-3789
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sandronovich746492@direct.novanthealth.org |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients |
Locations
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- sandronovich746492@direct.novanthealth.org
Organizations & group practices 3
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Rehabilitation Medicine
- Physical Medicine & Rehabilitation Physician
- Salisbury, NC
- NPI 1871224410
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Matthews Medical Center
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1699332114",
"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": "704-384-9740",
"fax_number": "704-384-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MATTHEWS TOWNSHIP PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054656",
"telephone_number": "704-384-9740",
"fax_number": "704-384-9565"
}
],
"practiceLocations": [
{
"address_1": "7709 Sardis Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282702754",
"country_code": "US",
"telephone_number": "704-492-2814",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10030 Gilead Rd",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "28078",
"country_code": "US",
"telephone_number": "704-316-3789",
"fax_number": "704-316-6785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRONOVICH",
"first_name": "STEVEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09140",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sandronovich746492@direct.novanthealth.org",
"affiliation": "N",
"address_1": "7709 Sardis Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282702754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.