Individual provider Active NPI

Fatima Zahra Yadudu, MD/MPH

  • Obstetrics Physician
  • Huntersville, NC
National Provider Identifier
1730718586
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
2024-01828 Issued in NC
Practice address
13620 Reese Blvd E Ste 100
Huntersville, NC 28078-6418
Phone
(704) 801-7330
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2024-10828 NC
Obstetrics Physician 207VX0000X 2024-01828 NC Primary

Addresses

Primary practice location

13620 Reese Blvd E Ste 100
Huntersville, NC 28078-6418

Mailing address

13620 Reese Blvd E Ste 100
Huntersville, NC 28078-6418

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
I20241111003228 NC Practitioner - Obstetrics/Gynecology 5698197267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

13620 Reese Blvd E
Huntersville, NC 28078-6417
Phone (704) 801-7340

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-10828NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health North Market Network LLC CurrentSince Sep 3, 2024 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

1020 Tree of Life Ln
Cornelius, NC 28031
Phone (704) 801-7330

13620 Reese Blvd E
Huntersville, NC 28078
Phone (704) 801-7330

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078
Phone (704) 801-7330

Interoperability endpoints

  • Direct secure messaging: fyadudu2904948@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1730718586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 REESE BLVD E STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 REESE BLVD E STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786418",
            "telephone_number": "704-801-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADUDU",
        "first_name": "FATIMA",
        "middle_name": "ZAHRA",
        "credential": "MD/MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "2024-10828",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "2024-01828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.