Active NPI
David Benjamin Konstandt, M.D.
- Urology Physician
- Mooresville, NC
National Provider Identifier
1881670164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2005-00344
- Practice address
- 128 Medical Park Rd
Suite 301
Mooresville, NC 28117-8578 - Phone
- (704) 660-3322
- Fax
- (704) 660-3330
- NPI assigned
- Dec 19, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 200500344 | NC | |
| Urology Physician | 208800000X | 2005-00344 | NC | Primary |
Addresses
Primary practice location
128 Medical Park Rd
Suite 301
Mooresville, NC 28117-8578
Mailing address
9735 Kincey Ave
Suite 201
Huntersville, NC 28078-9118
Phone (704) 414-2870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902364 | Medicaid | NC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823001015 | NC | Practitioner - Urology | 4789615378 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Stone Institute of the Carolinas LLCCarolina Urology Partners PLLC
Practice addresses (Care Compare)
215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120
9735 Kincey Ave
Suite 302
Huntersville, NC 28078-9120
Phone (704) 766-1147
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
- Duke Health Lake Norman Hospital
- Novant Health Presbyterian Medical Center
- Carolinas Medical Center/Behav Health
- Novant Health Mint Hill Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500344 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Urology Partners PLLC | Urology | Current | Accepting new patients |
| Stone Institute of the Carolinas LLC | Urology | Current | Accepting new patients |
Locations
9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870
9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865
137 Professional Park Dr
Ste D
Mooresville, NC 28117
Phone (704) 660-3322
128 Medical Park Rd
Ste 301
Mooresville, NC 28117
Phone (704) 660-3322
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- david.konstandt.p1@direct.cup.nextgenshare.com
- dkonstandt663890@direct.medicine.duke.edu
- dkonstandt98589@direct.novanthealth.org
Organizations & group practices 2
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 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1881670164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE",
"address_2": "SUITE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789118",
"telephone_number": "704-414-2870",
"fax_number": "704-414-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MEDICAL PARK RD",
"address_2": "SUITE 301",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178578",
"telephone_number": "704-660-3322",
"fax_number": "704-660-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONSTANDT",
"first_name": "DAVID",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "200500344",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2005-00344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902364",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.