SAMUEL J. PERETSMAN M.D. – NPI #1912946336
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

SAMUEL PERETSMAN is an urologist located in CHARLOTTE, NC. NPPES has assigned the NPI number 1912946336 to SAMUEL PERETSMAN on June 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 3 years ago on May 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL PERETSMAN below.

NPI Profile for
SAMUEL J. PERETSMAN

NPI Number
1912946336
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL J. PERETSMAN
Credentials
M.D.
Primary location
201 QUEENS RD
CHARLOTTE, NC 28204-3217
Phone: (704) 372-5180 Fax: (704) 376-6280
1 Other location(s):
1301 Taylor St Ste 1A
Columbia, SC 29201-2946
Phone: (803) 434-4790
Fax: (803) 434-4799
Mailing address
PO BOX 36488
CHARLOTTE, NC 28236-6488
Phone: (704) 248-3400 Fax: (704) 337-8387
Sole Proprietor
No
Updated
Certification Date
May 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAMUEL PERETSMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS INDI PROVIDER #NC66833
otherPARTNERS PROVIDER #NC10465
otherRAILROAD MEDICARE INDI #NC340016821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 SC 89031

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
BOSTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 1983
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL PERETSMAN is affiliated with the following medical group(s):
  • HOSPITAL
    • CAROLINAS MEDICAL CENTER-PINEVILLE
      10628 PARK RD
      CHARLOTTE, NC 28210
    • CAROLINAS MEDICAL CENTER/BEHAV HEALTH
      1000 BLYTHE BLVD
      CHARLOTTE, NC 28203
    • NOVANT HEALTH MATTHEWS MEDICAL CENTER
      1500 MATTHEWS TWNSHP PRKWY BOX 3310
      MATTHEWS, NC 28106
    • NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER
      200 HAWTHORNE LANE BOX 33549
      CHARLOTTE, NC 28233

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Can I hide my NPI profile from the public?
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