PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
NPI 1679582134
Pediatrics - Pediatric Endocrinology in Charlotte, NC
NPI Status: Active since August 05, 2006
Contact Information
4501 CAMERON VALLEY PKWY
STE 200
CHARLOTTE, NC
ZIP 28211
Phone: (704) 512-3636
- Organization
- Pediatrics
- Pediatric Endocrinology
- Accepts Insurance
- CLIA Number: 34D0702317
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-10-2027
About PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
This page provides the complete NPI Profile along with additional information for Pediatric Endocrinology & Diabetes Specialists, a pediatrician established in Charlotte, North Carolina operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1679582134 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0205X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pediatric Endocrinology & Diabetes Specialists. The authorized official of this NPI record is Scott Rissmiller (Enterprise Evp)
- NPI
- 1679582134
- Provider Legal Name
- PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
- Other Organization Name
- PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4501 CAMERON VALLEY PKWY STE 200 CHARLOTTE, NC 28211
- Location Phone
- (704) 512-3636
- Mailing Address
- PO BOX 19305 CHARLOTTE, NC 28219
- Mailing Phone
- (704) 631-0002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-05-2006
- Last Update Date
- 03-09-2023
- Code Navigator
A pediatrician like Pediatric Endocrinology & Diabetes Specialists is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze with Atrium Health - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0702317
- Facility Type
- Physician Office
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- DR. MARK VANDERWAL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Endocrinology & Diabetes Specialists to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679582134, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679582134, enumerated as an "organization" on August 05, 2006.
The provider is located at 4501 CAMERON VALLEY PKWY STE 200 CHARLOTTE, NC 28211 and the phone number is (704) 512-3636.
Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
