Individual provider Active NPI

Ritvij Satodiya, MD

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1992239669
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2023-00970 Issued in NC
Practice address
13950 Ballantyne Corporate PL Ste 155
Charlotte, NC 28277-3163
Phone
(347) 670-0033
Fax
(980) 500-1085
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 305326 NY
Child & Adolescent Psychiatry Physician 2084P0804X 92166 GA
Child & Adolescent Psychiatry Physician 2084P0804X 68504 AZ
Child & Adolescent Psychiatry Physician 2084P0804X 2023-00970 NC Primary

Addresses

Primary practice location

13950 Ballantyne Corporate PL Ste 155
Charlotte, NC 28277-3163

Mailing address

13950 Ballantyne Corporate PL Ste 155
Charlotte, NC 28277-3163
Phone (347) 670-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230913001333 NY Practitioner - Psychiatry 3870862956 Reassigns benefits to 2 organizations
I20240124000334 NC Practitioner - Psychiatry 3870862956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13950 Ballantyne Corporate PL
Suite 155
Charlotte, NC 28277-3163
Phone (347) 670-0033

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68504AZMDChild & Adolescent Psychiatry Physician
92166GAMDChild & Adolescent Psychiatry Physician
305326NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Psychiatry CurrentSince Jan 16, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 12, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 12, 2023 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 21, 2024 Accepting new patients
East Carolina University Current Accepting new patients
Carolinas Psychiatric Institute, PLLC Psychiatry CurrentSince Oct 13, 2024 Accepting new patients

Locations

13950 Ballantyne Corporate Pl
Ste 155
Charlotte, NC 28277
Phone (347) 670-0033

905 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 744-1406

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1992239669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 BALLANTYNE CORPORATE PL STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773163",
            "telephone_number": "347-670-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 BALLANTYNE CORPORATE PL STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773163",
            "telephone_number": "347-670-0033",
            "fax_number": "980-500-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATODIYA",
        "first_name": "RITVIJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "305326",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "92166",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "68504",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2023-00970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.