Active NPI
Pouneh Mofrad Nikrooz, MD
- Gastroenterology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 200401552
- Practice address
- 16817 Marvin Rd
Charlotte, NC 28277-2196 - Phone
- (704) 495-6334
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 4, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 200401552 | NC | Primary |
| Gastroenterology Physician | 207RG0100X | 2004-01552 | NC |
Addresses
Primary practice location
16817 Marvin Rd
Charlotte, NC 28277-2196
Mailing address
5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334
Other practice location 1
6060 Piedmont Row Dr S Fl 10
Charlotte, NC 28287-3893
Phone (704) 495-6334
Other practice location 2
415 North Center Street
Ste. 300
Hickory, NC 28601-5036
Phone (828) 328-3300 ext. 215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901545 | Medicaid | NC |
Other names 1
- Dr. Susan M. Nikrooz
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
- Internal Medicine
- Education
- Brody School of Medicine at East Carolina University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16817 Marvin Rd
Charlotte, NC 28277-2196
Phone (704) 495-6334
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 108 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 83 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-01552 | NC | MD | Gastroenterology Physician |
| 200401552 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tryon Medical Partners, PLLC | Gastroenterology | Current | Accepting new patients |
| Carolina Digestive Health Associates, PA | Past | Accepting new patients |
Locations
16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256
5960 Fairview Rd
Ste 500
Charlotte, NC 28210
6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116
6060 Piedmont Row Dr S
Fl 10
Charlotte, NC 28287
Phone (704) 489-3094
Interoperability endpoints
- pouneh.nikrooz.1@17847.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1992204549
Gastroenterology
-
dba Carolina Digestive Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1063584415
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Pineville
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1992738983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 FAIRVIEW RD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103113",
"telephone_number": "704-495-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16817 MARVIN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772196",
"telephone_number": "704-495-6334"
}
],
"practiceLocations": [
{
"address_1": "6060 Piedmont Row Dr S Fl 10",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282873893",
"country_code": "US",
"telephone_number": "704-495-6334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 North Center Street",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286015036",
"country_code": "US",
"telephone_number": "828-328-3300 x215",
"fax_number": "828-328-9101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIKROOZ",
"first_name": "POUNEH",
"middle_name": "MOFRAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "200401552",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2004-01552",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901545",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "NIKROOZ",
"middle_name": "M.",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
- Lauren Nifong, M.A., BCBA, LBA
- Mukesh Kumar Nigam, MD
- Nyaka Niilampti, PH.D.
- Bartosz Michal Nikiciuk, P.T.
- Nikki's Tattoo Studio, Inc
- Sara Wright Nilsson, MSW, LCSWA
- Olivia Bedell Nimley
- Nimon (Haven Community Care Services)
- Nine Lives Behavioral Health Collective PLLC
- Laura Jennifer Nine, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.