NORTHEAST PEDIATRIC ENDOCRINOLOGY - UNIVERSITY
NPI 1700213113
Pediatrics - Pediatric Endocrinology in Charlotte, NC

NPI Status: Active since September 30, 2013

Contact Information

101 E W T HARRIS BLVD
BLDG 3000 STE 3301C
CHARLOTTE, NC
ZIP 28262
Phone: (704) 403-2660

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  • Organization
  • Pediatrics
  • Pediatric Endocrinology
  • Accepts Insurance
  • CLIA Number: 34D2333299
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-02-2027

About NORTHEAST PEDIATRIC ENDOCRINOLOGY - UNIVERSITY

This page provides the complete NPI Profile along with additional information for Northeast Pediatric Endocrinology - University, 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 1700213113 assigned on September 2013. 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 Northeast Pediatric Endocrinology - University. The authorized official of this NPI record is Scott Rissmiller (Enterprise Evp)

NPI
1700213113
Provider Legal Name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other Organization Name
NORTHEAST PEDIATRIC ENDOCRINOLOGY - UNIVERSITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 E W T HARRIS BLVD BLDG 3000 STE 3301C CHARLOTTE, NC 28262
Location Phone
(704) 403-2660
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Mailing Phone
(704) 631-0002
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-30-2013
Last Update Date
03-09-2023
Code Navigator

A pediatrician like Northeast Pediatric Endocrinology - University 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:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT RISSMILLER

Authorized Official Title
ENTERPRISE EVP
Authorized Official Phone
(704) 355-8675

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
34D2333299
Facility Type
Physician Office
Certificate Effective Date
November 03, 2025
Certificate Expiration Date
November 02, 2027
Laboratory Director
MARK R. WANDERWEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeast Pediatric Endocrinology - University 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 NORTHEAST PEDIATRIC ENDOCRINOLOGY - UNIVERSITY

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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 1700213113, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 2 → 4 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 4 + 1 + 6 + 1 + 2 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1700213113.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Endocrinology)
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301C
CHARLOTTE, NC 28262
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301B
CHARLOTTE, NC 28262
Pediatrics (Pediatric Critical Care Medicine)
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301A
CHARLOTTE, NC 28262
Pediatrics (Pediatric Pulmonology)
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301D
CHARLOTTE, NC 28262
Psychiatry & Neurology (Neurology)
101 E W T HARRIS BLVD, STE 5202
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Family Medicine
101 E W T HARRIS BLVD, SUITE 4104
CHARLOTTE, NC 28262
Nurse Practitioner (Adult Health)
101 E W T HARRIS BLVD, SUITE 5002
CHARLOTTE, NC 28262
Internal Medicine (Rheumatology)
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301-G
CHARLOTTE, NC 28262
Internal Medicine (Sports Medicine)
101 E W T HARRIS BLVD, SUITE 5101
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Emergency Medicine
101 E W T HARRIS BLVD, SUITE 5203
CHARLOTTE, NC 28262
Emergency Medicine
101 E W T HARRIS BLVD, SUITE 5203
CHARLOTTE, NC 28262
Emergency Medicine
101 E W T HARRIS BLVD, SUITE 5203
CHARLOTTE, NC 28262
Urology (Pediatric Urology)
101 E W T HARRIS BLVD, SUITE 3301
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Obstetrics & Gynecology
101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262
Nurse Practitioner
101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262
Nurse Practitioner
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
101 E W T HARRIS BLVD, BLDG 3000 STE 3301B
CHARLOTTE, NC 28262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700213113, enumerated as an "organization" on September 30, 2013.

The provider is located at 101 E W T HARRIS BLVD BLDG 3000 STE 3301C CHARLOTTE, NC 28262 and the phone number is (704) 403-2660.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and InStil. Please consult your insurance carrier or call the provider to verify.