JONATHAN DVORAK
NPI 1912432386
General Practice in Charlotte, NC

Q: What is Jonathan Dvorak's NPI number?

The NPI number for Jonathan Dvorak is 1912432386. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Jonathan Dvorak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Dvorak was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since April 24, 2017PECOS Enrolled

1523 ELIZABETH AVE STE 200, CHARLOTTE, NC 28204(704) 910-1402(704) 910-1402 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2021, Apr 24, 2017 (2 updates tracked since 2017).

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About Jonathan Dvorak NPPES

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

JONATHAN DVORAK (NPI 1912432386) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (2021-00162) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912432386

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJONATHAN DVORAK

Location Address1523 ELIZABETH AVE STE 200Charlotte, NC 28204-2794

Mailing Address1523 Elizabeth Ave Ste 200Charlotte, NC 28204-2794 · (704) 910-1402 · Fax (704) 910-1402

Phone(704) 910-1402

Fax(704) 910-1402

Sole ProprietorNo

Enumeration DateApril 24, 2017

Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2021

✔ NPI 1912432386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NC · 2021-00162

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1523 ELIZABETH AVE STE 200, Charlotte, NC 28204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Dvorak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Dvorak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc

0.4 mi

Hospitalist

2001 VAIL AVE
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1538482914 (704) 304-6070

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CAROLINE RAE KLUTTZ MS, RDN, LDN

Dietitian, Registered

1523 ELIZABETH AVE STE 200
CHARLOTTE, NC 28204

Mecklenburg County (704) 910-1402

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 Jonathan Dvorak's NPI number?

The NPI number for Jonathan Dvorak is 1912432386. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Jonathan Dvorak located?

Jonathan Dvorak practices at 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204. The listed phone number is (704) 910-1402.

What is Jonathan Dvorak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jonathan Dvorak enrolled in Medicare?

Yes. Jonathan Dvorak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Dvorak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Dvorak reassigns Medicare benefits to Carolinas Physicians Network Inc (Charlotte, NC). The 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 Jonathan Dvorak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Dvorak was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.