Active NPI
John Fani Srour, M.D.
- Interventional Cardiology Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2019-01351
- Practice address
- 9930 Kincey Ave Ste 200
Huntersville, NC 28078-6541 - Phone
- (704) 887-4530
- Fax
- (704) 887-4531
- NPI assigned
- Jul 1, 2006
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 2019-01351 | NC | Primary |
| Interventional Cardiology Physician | 207RI0011X | 13064 | NH | |
| Cardiovascular Disease Physician | 207RC0000X | 13064 | NH | |
| Cardiovascular Disease Physician | 207RC0000X | 2019-01351 | NC |
Addresses
Primary practice location
9930 Kincey Ave Ste 200
Huntersville, NC 28078-6541
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 887-4530
Other practice location 1
2064 Woodbury Ave
Newington, NH 03801-7801
Phone (603) 431-6691
Other practice location 2
10030 Gilead Rd Ste 201
Huntersville, NC 28078
Phone (704) 887-4530
Other practice location 3
2064 Woodbury Ave
Newington, NH 03801-7801
Phone (603) 431-6691
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1170828 | Other | NH | CIGNA |
| 396965 | Other | NH | MVP |
| 432327299 | Medicaid | ME | |
| 7984888 | Other | NH | AETNA |
| AA73407 | Other | NH | HARVARD PILGRIM |
| 01Y010853NH02 | Other | NJ | BCBS |
| 30206253 | Medicaid | NH | |
| 5761654 | Other | NH | FIRST HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfanisrour722066@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
10030 Gilead Rd
Suite 201
Huntersville, NC 28078-7545
Phone (704) 887-4530
1401 Matthews Township Pkwy
Suite 212And312
Matthews, NC 28105-5402
Phone (704) 316-3131
301 S College St
Suite 250
Charlotte, NC 28202-6035
Phone (704) 384-1620
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
- Novant Health Presbyterian Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 29 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13064 | NH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Ballantyne Medical Center LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Legacy Heart Care of Charlotte, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Rowan Regional Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Past | Accepting new patients | |
| Novant Medical Group, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Locations (25 of 26)
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
300 Billingsley Rd
Ste 101
Charlotte, NC 28211
Phone (704) 334-1401
125 Queens Rd
Ste 200
Charlotte, NC 28204
301 S College St
Ste 250
Charlotte, NC 28202
Phone (704) 316-4810
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
6701 Carmel Rd
Unit 355
Charlotte, NC 28226
Phone (704) 334-1401
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1718 E 4th St
Ste 607
Charlotte, NC 28204
Phone (704) 377-1663
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530
10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042
1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 19
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1467810663
-
- Specialist
- Winston-Salem, NC
- NPI 1003867516
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
-
- Specialist
- Matthews, NC
- NPI 1184782419
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
-
- General Acute Care Hospital
- Winston-Salem, NC
- NPI 1538111828
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1407150816
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1982633178",
"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": "704-887-4530",
"fax_number": "704-887-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 200",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "704-887-4530",
"fax_number": "704-887-4531"
}
],
"practiceLocations": [
{
"address_1": "2064 Woodbury Ave",
"address_purpose": "LOCATION",
"city": "Newington",
"state": "NH",
"postal_code": "038017801",
"country_code": "US",
"telephone_number": "603-431-6691",
"fax_number": "603-431-6794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10030 Gilead Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "28078",
"country_code": "US",
"telephone_number": "704-887-4530",
"fax_number": "704-887-4531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2064 Woodbury Ave",
"address_purpose": "LOCATION",
"city": "Newington",
"state": "NH",
"postal_code": "038017801",
"country_code": "US",
"telephone_number": "603-431-6691",
"fax_number": "603-431-6794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANI SROUR",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2019-01351",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NH",
"license": "13064",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "13064",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2019-01351",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1170828",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "396965",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432327299",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7984888",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA73407",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01Y010853NH02",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30206253",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5761654",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfanisrour722066@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2064 Woodbury Ave",
"city": "Newington",
"state": "NH",
"country_code": "US",
"postal_code": "038017801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.