DAT THANH TA MD
NPI 1194049049
Emergency Medicine in Charlotte, NC

Active since March 22, 2010PECOS EnrolledAccepts Medicare Assignment
10628 PARK RD, EMERGENCY DEPARTMENT, CHARLOTTE, NC 28210(877) 678-0949 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dat Thanh Ta Md NPPES

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

DAT THANH TA MD (NPI 1194049049) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2013-00142) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Rush Medical College Of Rush University (2010).

NPPES Registry Identity

NPI1194049049
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAT THANH TACredential: MD
Location Address10628 PARK RD, EMERGENCY DEPARTMENTCharlotte, NC 28210-8407
Mailing Address101 E Wood StSpartanburg, SC 29303-3040 · (864) 560-6000
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 2010
Enumeration DateMarch 22, 2010
Last NPPES UpdateApril 17, 2026
NPPES CertifiedApril 17, 2026
NPI 1194049049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 2013-00142
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10628 PARK RD, Charlotte, NC 28210

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

Dat Thanh Ta 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 ID5193961712
PECOS Enrollment IDI20171009003385
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
179 services171 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
162 services162 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
149 services148 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services68 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
31 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

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 Dat Ta's NPI number?

The NPI number for Dat Ta is 1194049049. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Where is Dat Ta located?

Dat Ta practices at 10628 Park Rd Emergency Department, Charlotte, NC 28210. The listed phone number is (877) 678-0949.

What is Dat Ta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dat Ta enrolled in Medicare?

Yes. Dat Ta 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 Dat Ta accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Dat Ta 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 Dat Ta affiliated with any hospitals?

According to CMS data, Dat Ta is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Dat Ta was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.