Active NPI
Yoni Nutovits, MD
- Psychiatry Physician
- Chapel Hill, NC
National Provider Identifier
1992379382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- LL85969
- Practice address
- 77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875 - Phone
- (984) 974-5217
- Fax
- (984) 974-3778
- NPI assigned
- May 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 321610 | NC | |
| Psychiatry Physician | 2084P0800X | LL85969 | SC | Primary |
Addresses
Primary practice location
77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875
Mailing address
169 Ashley Avenue
Room 202 Main Hospital Msc333
Charleston, SC 29425
Phone (561) 317-7654
Other practice location 1
169 Ashley Avenue
Room 202 Main Hospital MSC333
Charleston, SC 29425
Phone (843) 792-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210907002457 | SC | Order and Referring Only - Psychiatry | 3971909557 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321610 | NC | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Interoperability endpoints
- ynutovits1158063@direct.unc.nchie.net
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Chapel Hill, NC
- NPI 1184882045
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1992379382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVENUE",
"address_2": "ROOM 202 MAIN HOSPITAL MSC333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425",
"telephone_number": "561-317-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 VILCOM CENTER DR STE 300",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141875",
"telephone_number": "984-974-5217",
"fax_number": "984-974-3778"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Avenue",
"address_2": "Room 202 Main Hospital MSC333",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29425",
"country_code": "US",
"telephone_number": "843-792-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUTOVITS",
"first_name": "YONI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "321610",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "LL85969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.