Active NPI
Ismaeel Badr Hashemi, MD
- Pediatric Gastroenterology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 955858
- Practice address
- 1918 Randolph Rd Ste 210
Charlotte, NC 28207-1109 - Phone
- (704) 316-5060
- Fax
- (704) 316-5069
- NPI assigned
- Jul 27, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 4301095879 | MI | |
| Pediatric Gastroenterology Physician | 2080P0206X | 955858 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 210
Charlotte, NC 28207-1109
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5060
Other practice location 1
2711 Randolph Rd Ste 301
Charlotte, NC 28207-2027
Phone (704) 316-5060
Other practice location 2
35 Michigan St NE
Suite 4150
Grand Rapids, MI 49503-2514
Phone (616) 267-2100
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 955858 | NC | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Pediatric Gastroenterology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
2711 Randolph Rd
Ste 301
Charlotte, NC 28207
Phone (704) 330-1700
1918 Randolph Rd
Ste 210
Charlotte, NC 28207
Phone (704) 247-2209
6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354
17810 Statesville Rd
Ste 311
Cornelius, NC 28031
Phone (704) 655-6300
1574 Union Rd
Ste A
Gastonia, NC 28054
Phone (704) 866-4607
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
- ihashemi1114147@direct.novanthealth.org
Organizations & group practices 4
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Pediatric Gastroenterology Physician
- Charlotte, NC
- NPI 1003966185
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1821288705",
"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": "704-316-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071109",
"telephone_number": "704-316-5060",
"fax_number": "704-316-5069"
}
],
"practiceLocations": [
{
"address_1": "2711 Randolph Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072027",
"country_code": "US",
"telephone_number": "704-316-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Michigan St NE",
"address_2": "Suite 4150",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032514",
"country_code": "US",
"telephone_number": "616-267-2100",
"fax_number": "616-267-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASHEMI",
"first_name": "ISMAEEL",
"middle_name": "BADR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301095879",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NC",
"license": "955858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.