NPIMap

Individual provider Active NPI

Derek R McHaffie, M.D.

  • Radiation Oncology Physician
  • Charlotte, NC
National Provider Identifier
1982640173
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2011-00348 Issued in NC
Practice address
1021 Morehead Medical Dr
Charlotte, NC 28204-2839
Phone
(704) 355-2272
Fax
(704) 355-1865
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2011-00348 NC Primary
Radiation Oncology Physician 2085R0001X 33435 SC

Addresses

Primary practice location

1021 Morehead Medical Dr
Charlotte, NC 28204-2839

Mailing address

200 Queens Rd
Suite 400
Charlotte, NC 28204-3264
Phone (704) 333-7376

Other identifiers 2

IdentifierTypeStateIssuer
5917086MedicaidNC
NC1339MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110614000534 NC Practitioner - Radiation Oncology 8820275191 Reassigns benefits to 2 organizations
I20111025000429 SC Practitioner - Radiation Oncology 8820275191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
East Tennessee State University Quillen College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 333-7376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Nov 1, 2011 Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Jul 1, 2011 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 1, 2011 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Nov 1, 2011 Accepting new patients
Pineville Radiation Therapy Center, LLC Past Accepting new patients

Locations

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

125 Queens Rd
Ste 150
Charlotte, NC 28204
Phone (980) 302-6144

8310 University Exec Park Dr
Ste 500
Charlotte, NC 28262
Phone (704) 547-8762

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: dmchaffie136717@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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 7

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1982640173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOREHEAD MEDICAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042839",
            "telephone_number": "704-355-2272",
            "fax_number": "704-355-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHAFFIE",
        "first_name": "DEREK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2011-00348",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "33435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917086",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1339",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.