HEALTHSTAR
NPI 1669221719
Community/Behavioral Health in Charlotte, NC
About Healthstar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSTAR (NPI 1669221719) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since May 2024. The organization lists Philemon Mboini Ngoh, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthstar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Healthstar, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Washington, DC 20032
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 Healthstar's NPI number?
The NPI number for Healthstar is 1669221719. It was assigned to this organization in the NPPES registry on May 13, 2024.
Where is Healthstar located?
Healthstar is located at 13136 Sudwick Ln, Charlotte, NC 28278. The listed phone number is (859) 536-3360.
What is Healthstar's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Healthstar enrolled in Medicare?
Yes. Healthstar is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healthstar?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Healthstar, in Clinical Social Worker and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Healthstar was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Healthstar · NPI 1669221719
Community/Behavioral Health organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since May 13, 2024.
## Identity
- **NPI:** 1669221719 (Entity type: Organization)
- **Enumerated:** May 13, 2024
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Philemon Mboini Ngoh, CEO
## Practice location
- **Address:** 13136 SUDWICK LN, Charlotte, NC 28278-8677
- **Phone:** (859) 536-3360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669221719) · Data from the CMS NPPES public registry.