Individual provider Active NPI

Dara Khalatbari, M.D.

  • Ophthalmology Physician
  • Monroe, NC
National Provider Identifier
1770612574
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2007-00523 Issued in NC
Practice address
602 S Sutherland Ave
Monroe, NC 28112-5063
Phone
(704) 684-8400
Fax
(980) 326-2079
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2007-00523 NC Primary

Addresses

Primary practice location

602 S Sutherland Ave
Monroe, NC 28112-5063

Mailing address

602 S Sutherland Ave
Monroe, NC 28112-5063
Phone (704) 684-8400

Other practice location 1

8924 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 684-8400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dkhalatbari@ecsc.intellechartdirect.net Direct
CONNECT URL https://eyecareofcharlotte.com/ Direct

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
I20071121000403 NC Practitioner - Ophthalmology 5395833545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 S Sutherland Ave
Monroe, NC 28112-5063
Phone (704) 684-8400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00523NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care & Surgeons of Charlotte, PLLC Ophthalmology CurrentSince Jul 11, 2020 Accepting new patients

Locations

8924 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 703-1080

602 S Sutherland Ave
Monroe, NC 28112
Phone (704) 384-8420

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1770612574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125063",
            "telephone_number": "704-684-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125063",
            "telephone_number": "704-684-8400",
            "fax_number": "980-326-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8924 Blakeney Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282776660",
            "country_code": "US",
            "telephone_number": "704-684-8400",
            "fax_number": "980-326-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALATBARI",
        "first_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2007-00523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkhalatbari@ecsc.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "602 S Sutherland Ave",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://eyecareofcharlotte.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "602 S Sutherland Ave",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.