CAROLINA ENDOVASCULAR AND INTERVENTIONAL PLLC
NPI 1487531059
Radiology - Vascular & Interventional Radiology in Charlotte, NC

Q: What is Carolina Endovascular And Interventional PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since August 18, 2025

6060 PIEDMONT ROW DR S STE 200, CHARLOTTE, NC 28287(704) 705-8602(877) 531-1009 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Carolina Endovascular And Interventional Pllc NPPES

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

CAROLINA ENDOVASCULAR AND INTERVENTIONAL PLLC (NPI 1487531059) is a healthcare organization registered as a vascular & interventional radiology in Charlotte, North Carolina and active in the NPI registry since August 2025. The organization lists Peter O Simon, Member/organizer, as its authorized official.

NPPES Registry Identity

NPI1487531059

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameCAROLINA ENDOVASCULAR AND INTERVENTIONAL PLLC

Location Address6060 PIEDMONT ROW DR S STE 200Charlotte, NC 28287-3888

Mailing Address6060 Piedmont Row Dr S Ste 200Charlotte, NC 28287-3888 · (704) 705-8602 · Fax (877) 682-4705

Phone(704) 705-8602

Fax(877) 531-1009

Organization SubpartNo

Authorized OfficialPeter O SimonMember/organizer · (704) 705-8602

Enumeration DateAugust 18, 2025

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1487531059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

6060 PIEDMONT ROW DR S STE 200, Charlotte, NC 28287

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Endovascular And Interventional Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Carolina Endovascular And Interventional PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Peter Simon, MD

Diagnostic Radiology

NPI 1982644928

6060 PIEDMONT ROW DR S STE 200
Charlotte, NC 28287

(704) 787-0057

✔ PECOS✔ Accepts MedicareSame address

Heath Mccullough, MD

Diagnostic Radiology

NPI 1366641243

601 N ELM ST
High Point, NC 27262

(336) 878-6000

✔ PECOS✔ Accepts Medicare73 mi

Dylan Suttle, M.D.

Interventional Radiology

NPI 1942695382

1305 LEES CHAPEL RD STE 103
Greensboro, NC 27455

(336) 499-9513

✔ PECOS✔ Accepts Medicare90 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carolina Endovascular And Interventional PLLC's NPI number?

The NPI number for Carolina Endovascular And Interventional PLLC is 1487531059. It was assigned to this organization in the NPPES registry on August 18, 2025.

Where is Carolina Endovascular And Interventional PLLC located?

Carolina Endovascular And Interventional PLLC is located at 6060 Piedmont Row Dr S Ste 200, Charlotte, NC 28287. The listed phone number is (704) 705-8602.

What is Carolina Endovascular And Interventional PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Carolina Endovascular And Interventional PLLC enrolled in Medicare?

Yes. Carolina Endovascular And Interventional PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Endovascular And Interventional PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carolina Endovascular And Interventional PLLC, in Diagnostic Radiology and Interventional Radiology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carolina Endovascular And Interventional PLLC was last updated on June 8, 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.