Individual provider Active NPI

Joshua Benjamin Surowitz, MD

  • Otolaryngology Physician
  • Charlotte, NC
National Provider Identifier
1700080678
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2013-00940 Issued in NC
Practice address
1819 Lyndhurst Ave
Charlotte, NC 28203-5103
Phone
(980) 949-6544
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A 119313 CA
Student in an Organized Health Care Education/Training Program 390200000X 141580 NC
Otolaryngology Physician 207Y00000X 2013-00940 NC Primary
Pediatric Otolaryngology Physician 207YP0228X 036143914 IL
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 2013-00940 NC

Addresses

Primary practice location

1819 Lyndhurst Ave
Charlotte, NC 28203-5103

Mailing address

1819 Lyndhurst Ave
Charlotte, NC 28203-5103
Phone (980) 949-6544

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
I20130823000807 NC Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5698938272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dilworth Facial Plastic Surgery PLLCGroup PAC ID 8921383597, 2 clinicians

Practice addresses (Care Compare)

1565 Purdue Dr
Suite 301
Fayetteville, NC 28303-5537
Phone (910) 615-3060

1819 Lyndhurst Ave
Charlotte, NC 28203-5103
Phone (980) 949-6544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00940NCMDOtolaryngology Physician
A 119313CAMDOtolaryngology/Facial Plastic Surgery Physician
141580NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Dilworth Facial Plastic Surgery, PLLC Otolaryngology CurrentSince Apr 1, 2017 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC Otolaryngology Current Accepting new patients
Wake Specialty Physicians LLC PastSince Nov 8, 2025 Accepting new patients

Locations

1819 Lyndhurst Ave
Charlotte, NC 28203
Phone 70474958001101

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

10010 Falls of Neuse Rd
Ste 15
Raleigh, NC 27614
Phone (919) 350-1470

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

Interoperability endpoints

  • Direct secure messaging: jsurowitz10290@capefearvalley.direct-ci.com

Organizations & group practices 6

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1700080678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 LYNDHURST AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035103",
            "telephone_number": "980-949-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 LYNDHURST AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035103",
            "telephone_number": "980-949-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUROWITZ",
        "first_name": "JOSHUA",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A 119313",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "141580",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2013-00940",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "IL",
            "license": "036143914",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NC",
            "license": "2013-00940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.