May Mina Kassem, MD
Individual provider Active NPI Diagnostic Radiology Physician · Charlotte, NC
NPI 1992966980 · NPPES record last updated Sep 12, 2020
Key facts
- NPI
- 1992966980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2020-01025 (NC)
- Practice address
- 3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117 - Phone
- (704) 332-1291
- Fax
- (704) 926-1832
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mecklenburg Radiology Associates PA
Practice addresses (Care Compare)
3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-2117
Phone (704) 332-1291
Hospital & facility affiliations
- Novant Health Matthews Medical Center
- Novant Health Presbyterian Medical Center
- Novant Health Huntersville Medical Center
- Novant Health Rowan Medical Center
- Novant Health Ballantyne Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.03 of 100
- Quality
- 98.89
- Improvement activities
- 40
- Cost
- 72.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200528000351 | NC | Practitioner - Diagnostic Radiology | 8123268364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-01025 | NC | MD | Diagnostic Radiology Physician |
| MD14258 | RI | MD | Diagnostic Radiology Physician |
| 14258 | RI | MD | Vascular & Interventional Radiology Physician |
| 4301092708 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecklenburg Radiology Associates, P.a. | Diagnostic Radiology | Current |
Accepting new patients |
| Presbyterian Imaging Centers LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Presbyterian Breast Center LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Presbyterian Imaging Centers LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Mecklenburg Diagnostic Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Presbyterian Breast Center LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Past |
Accepting new patients |
Locations
3623 Latrobe Dr
Ste 216
Charlotte, NC 28211
Phone (704) 926-1827
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD14258 | RI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 14258 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301092708 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 2020-01025 | NC | Yes |
Addresses
Primary practice location
3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Mailing address
PO Box 221249
Charlotte, NC 28222-1249
Phone (704) 332-1291
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4400
Other practice location 2
125 Metro Center Blvd Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
Other providers in Charlotte, NC
- Lauren Renee Kaskie
- Oksana Kasko
- Onya Kasongo
- Firas Kassab
- Haimanot Kifle Kassahun
- Aundrea Kastein
- Kevin Richard Kasten
- Kastle Chiropractic
- Mark Douglas Kastner
- Elizabeth Anna Kastory
All providers in Charlotte, NC · Diagnostic Radiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.