Luis Emilio Betancourt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2012-01513 Issued in NC

Practice address

1900 Randolph Rd Ste 800
Charlotte, NC 28207-1110

Phone

(704) 384-1246

Fax

(704) 384-6072

NPI assigned

Sep 1, 2011

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, VA, FL3 enrollments

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 3

Specialty

Psychiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pediatric and Family Behavioral Health PLLCGroup PAC ID 6608287909, 7 clinicians

Mentus Behavioral Health LLCGroup PAC ID 0143602110, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: integrativewellnesssolutions.luisbetancourt@146232.advancedmd-direct.com
• Direct secure messaging: luis.betancourt.1@18773.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mentus Behavioral Health LLC

  • Child & Adolescent Psychiatry Physician
  • Fort Myers, FL
  • NPI 1700533536
  Medicare reassignment Care Compare group NPD Authorized official
• Pediatric and Family Behavioral Health Acquisition Group PLLC

  dba Pediatric and Family Behavioral Health PLLC

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1770056038
  Medicare reassignment NPD Authorized official
• Pediatric and Family Behavioral Health, PLLC

  dba Oasis Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Monroe, NC
  • NPI 1700385507
  Medicare reassignment Care Compare group NPD
• Oasis Behavioral Health LLC

  dba Spark Wellness Group

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1508531195
  Medicare reassignment Authorized official
• Murray E Joiner Jr MD PC

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
  • NPI 1326089822
  Medicare reassignment NPD
• Pain Center of the Blue Ridge

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
  • NPI 1245644533
  Medicare reassignment NPD
• Murray E Joiner Jr MD PC

  • Physical Medicine & Rehabilitation Physician
  • Lynchburg, VA
  • NPI 1932746153
  NPD
• Greenbrook TMS Winston-Salem LLC

  • Clinic/Center
  • Winston Salem, NC
  • NPI 1659879104
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1891076022",
    "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": "704-384-1246",
            "fax_number": "704-384-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD STE 800",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071110",
            "telephone_number": "704-384-1246",
            "fax_number": "704-384-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125834",
            "country_code": "US",
            "telephone_number": "704-764-1818",
            "fax_number": "704-285-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10420 Park Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108502",
            "country_code": "US",
            "telephone_number": "980-237-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "LUIS",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2012-01513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbetancourt164700@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "10420 Park Rd Ste 300",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282108502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• George Alexander Betancourt, D.M.D.
• Betancourt,Pinnix, Phelps, &Grimes, DMD PLLC (Dental Advantage)
• Carolina Betancur
• Beth Brearley Parker, PHD PA
• Bethany Christian Services of NC
• Shar'Dasia V Bethea-Haynes

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.