Individual provider Active NPI

Farzad Nowrouzzadeh, M.D.

  • Gastroenterology Physician
  • Gastonia, NC
National Provider Identifier
1730249848
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2008-01272 Issued in NC
Practice address
2544 Court Dr
Suite G
Gastonia, NC 28054-3450
Phone
(704) 854-9990
Fax
(704) 854-9045
NPI assigned
Dec 11, 2006
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01059669A IN
Gastroenterology Physician 207RG0100X 2008-01272 NC Primary

Addresses

Primary practice location

2544 Court Dr
Suite G
Gastonia, NC 28054-3450

Mailing address

2544 Court Dr
Suite G
Gastonia, NC 28054-3450
Phone (704) 854-9990

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
I20170427001013 NC Practitioner - Gastroenterology 6204113327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

4235 S New Hope Rd
Suite a
Gastonia, NC 28056-8453
Phone (704) 825-4750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy124
Upper gastrointestinal (GI) endoscopy for acid reflux156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059669AINMDInternal Medicine Physician
2008-01272NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Internal Medicine Current Accepting new patients
Caromont Medical Group Inc Gastroenterology CurrentSince Feb 20, 2017 Accepting new patients
Caromont Medical Group Inc CurrentSince Feb 20, 2017 Accepting new patients

Locations

1212 Spruce St
Ste 211
Belmont, NC 28012
Phone (704) 239-6924

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

2544 Court Dr
Ste G
Gastonia, NC 28054
Phone (704) 854-9990

4235 S New Hope Rd
Ste A
Gastonia, NC 28056
Phone (704) 825-4750

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

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.

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1730249848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 COURT DR",
            "address_2": "SUITE G",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543450",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 COURT DR",
            "address_2": "SUITE G",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543450",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWROUZZADEH",
        "first_name": "FARZAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01059669A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2008-01272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.