DR. FREDERICK MAST DULA JR. MD
NPI 1104821412
Radiology - Diagnostic Radiology in Charlotte, NC

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
81.87/100
CMS Quality Rating
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211(704) 332-1291 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2021, Oct 1, 2020, Aug 30, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Frederick Mast Dula Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDERICK MAST DULA JR. MD (NPI 1104821412) is an individual diagnostic radiology provider in Charlotte, North Carolina, licensed in North Carolina (26625) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains a secondary practice location in Eden Prairie.

NPPES Registry Identity

NPI1104821412
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. FREDERICK MAST DULA JR.Credential: MD
Location Address3623 LATROBE DR STE 216Charlotte, NC 28211-2117
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · (952) 595-1301 · Fax (612) 294-4903
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1981
Enumeration DateJune 15, 2005
Last NPPES UpdateMarch 27, 20246 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
NPI 1104821412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NC · 26625
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3623 LATROBE DR STE 216, Charlotte, NC 28211

Secondary Practice Location 1

Location 111995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · Phone (952) 595-1301 · Fax (612) 294-4903

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Frederick Mast Dula Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991617318
PECOS Enrollment IDI20031230000547
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 41

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
876 services803 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
328 services324 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
137 services135 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
114 services107 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
93 services91 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
85 services84 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost39.58

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Dula's NPI number?

The NPI number for Frederick Dula is 1104821412. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Frederick Dula located?

Frederick Dula practices at 3623 Latrobe Dr Ste 216, Charlotte, NC 28211. The listed phone number is (704) 332-1291.

What is Frederick Dula's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Frederick Dula enrolled in Medicare?

Yes. Frederick Dula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Frederick Dula accept?

Health plans from Blue Cross and Blue Shield of NC list Frederick Dula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Frederick Dula affiliated with any hospitals?

According to CMS data, Frederick Dula is affiliated with Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center, Novant Health Huntersville Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Frederick Dula was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.