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GLEN ANTHONY FANDETTI MD NPI 1265656094


NPI Information

NPI: 1265656094
Provider Name: GLEN ANTHONY FANDETTI, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
101 E W T HARRIS BLVD
STE 1213
CHARLOTTE, NC
ZIP 28262
Phone: (704) 863-1950
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Glen Anthony Fandetti, MD is an interventional cardiology internal medicine in Charlotte, NC with 24 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Glen Anthony Fandetti, MD NPI is 1265656094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

101 E W T HARRIS BLVD
STE 1213
CHARLOTTE, NC
ZIP 28262-485
Phone: (704) 863-1950

The NPI 1265656094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

The enumeration date for this NPI number is 4/12/2007 and was last updated on 12/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2008-01700NORTH CAROLINANo
2207RC0000XInternal MedicineCardiovascular Disease2008-01700NORTH CAROLINANo
3207RI0011XInternal MedicineInterventional Cardiology2008-01700NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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