Individual provider Active NPI

Nicholas Vigyan Latchana, M.D.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1851612089
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2019-01172 Issued in NC
Practice address
125 Queens Rd Ste 430
Charlotte, NC 28204-3215
Phone
(980) 302-6300
Fax
(980) 302-6305
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2019-01172 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 430
Charlotte, NC 28204-3215

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

395 W 12th Ave Rm 654
Columbus, OH 43210-1267
Phone (614) 293-8704

Other practice location 2

395 W 12th Ave Rm 654
Columbus, OH 43210-1267
Phone (614) 293-8704

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlatchana729297@direct.novanthealth.org

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
I20190919001459 NC Practitioner - General Surgery 1052552577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 430
Charlotte, NC 28204-3579
Phone (980) 302-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-01172NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Surgery CurrentSince Oct 4, 2020 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital CurrentSince Oct 4, 2020 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

125 Queens Rd
Ste 420
Charlotte, NC 28204
Phone (980) 302-6450

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300

Interoperability endpoints

  • Direct secure messaging: nlatchana729297@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.

Hospital & facility affiliations 8

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1851612089",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 430",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043215",
            "telephone_number": "980-302-6300",
            "fax_number": "980-302-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave Rm 654",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 W 12th Ave Rm 654",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATCHANA",
        "first_name": "NICHOLAS",
        "middle_name": "VIGYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2019-01172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatchana729297@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 430",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.