Individual provider Active NPI

Fadi Chanaa, MD

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1871120816
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2023-01091 Issued in NC
Practice address
11430 Red Rust LN Ste 201
Charlotte, NC 28277-4948
Phone
(704) 377-4009
NPI assigned
Mar 26, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2023-01091 NC Primary

Addresses

Primary practice location

11430 Red Rust LN Ste 201
Charlotte, NC 28277-4948

Mailing address

13808 Professional Center Dr
Huntersville, NC 28078-7948
Phone (704) 377-4009

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
I20200520003119 NC Order and Referring Only - GastroenterologyPractitioner - GastroenterologyPractitioner - Internal Medicine 6002247350

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
JC Edwards School of Medicine, Marshall University, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Commerce Pointe Blvd
Mooresville, NC 28117-9541

13808 Professional Ctr Dr
Huntersville, NC 28078

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: fchanaa1208769@carolinashealthcaresystem.direct-ci.com

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1871120816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13808 PROFESSIONAL CENTER DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787948",
            "telephone_number": "704-377-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 RED RUST LN STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774948",
            "telephone_number": "704-377-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANAA",
        "first_name": "FADI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2023-01091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.