1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Family Medicine
  6. NPI Profile

WILLIAM G. KATIBAH III M.D.
NPI 1912987975
Family Medicine in Charlotte, NC

Active since January 18, 2006Opted out of Medicare · through Jan 1, 2028
10320 MALLARD CREEK RD, SUITE 100, CHARLOTTE, NC 28262(704) 517-2130(877) 539-3581 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William G. Katibah Iii M.d. NPPES

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

WILLIAM G. KATIBAH III M.D. (NPI 1912987975) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (31155) and active in the NPI registry since January 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912987975
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM G. KATIBAH IIICredential: M.D.
Location Address10320 MALLARD CREEK RD, SUITE 100Charlotte, NC 28262-9756
Mailing Address304 Billings PlHuntersville, NC 28078-8506 · (704) 517-2130 · Fax (704) 626-2656
Phone(704) 517-2130
Fax(877) 539-3581
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1912987975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 31155
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10320 MALLARD CREEK RD, Charlotte, NC 28262
Open in Google Maps ↗

Other Identifiers 4

Medicaid8947745NC
Medicare UPINC87523NC
Medicare PINNC5687ANC
Medicare PIN212356GNC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

William G. Katibah Iii M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$168.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

GINA R. DAVIS DDS PA
Dentist (General Practice)
10320 MALLARD CREEK RD, SUITE 160
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-8734
DR. DAVID SCOTT MOSS M.D.
Internal Medicine
10320 MALLARD CREEK RD, STE 271
CHARLOTTE, NC 28262
Mecklenburg County (704) 503-6321
CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10320 MALLARD CREEK RD, SUITE 260
CHARLOTTE, NC 28262
Mecklenburg County (704) 549-1992
TANYA RACHELLE DUNLAP
Social Worker (Clinical)
10320 MALLARD CREEK RD, STE 240
CHARLOTTE, NC 28262
Mecklenburg County (704) 910-6142
JAZZMIN PATRICE WILLIAMS FNP
Nurse Practitioner
10320 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 900-8625
NOVANT MEDICAL GROUP, INC.
Internal Medicine
10320 MALLARD CREEK RD, SUITE 120
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-0570
DR. ROBERT HOLT FOUSHEE D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10320 MALLARD CREEK RD, SUITE 140
CHARLOTTE, NC 28262
Mecklenburg County (704) 593-1900
WILLIAM GEORGE KATIBAH III
Family Medicine
10320 MALLARD CREEK RD, SUITE 100
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-9500

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 William Katibah's NPI number?

The NPI number for William Katibah is 1912987975. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is William Katibah located?

William Katibah practices at 10320 Mallard Creek Rd Suite 100, Charlotte, NC 28262. The listed phone number is (704) 517-2130.

What is William Katibah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Katibah enrolled in Medicare?

No. William Katibah has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Katibah was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.