Active NPI
Matthew Gromet, M.D.
- Diagnostic Radiology Physician
- Charlotte, NC
National Provider Identifier
1982600235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 28038
- Practice address
- 700 E Morehead St
Ste 300
Charlotte, NC 28202-2788 - Phone
- (704) 334-7800
- Fax
- (704) 414-7512
- NPI assigned
- Jun 22, 2005
- Last updated
- Dec 20, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 072272 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 28038 | NC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME121175 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 49132 | TN |
Addresses
Primary practice location
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Mailing address
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Phone (704) 334-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7937720 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121175 | FL | MD | Diagnostic Radiology Physician |
| 072272 | GA | MD | Diagnostic Radiology Physician |
| 28038 | NC | MD | Diagnostic Radiology Physician |
| 49132 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Carolinas Imaging Services LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physiological Laboratory
- Denver, NC
- NPI 1093765851
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1003110677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1982600235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022788",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022788",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROMET",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "072272",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "28038",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME121175",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "49132",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7937720",
"state": "NC"
}
],
"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 Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.