Active NPI
Kenneth Lee Crosby Jr., M.D.
- Diagnostic Radiology Physician
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200101032
- Practice address
- 1901 Tate Springs Rd
Lynchburg, VA 24501-1109 - Phone
- (434) 200-5047
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200101032 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 0101271324 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 85214 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 200101032 | NC | Primary |
Addresses
Primary practice location
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Mailing address
5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 256-3576
Other practice location 1
3186 Village Dr Ste 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700
Other practice location 2
5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 350-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013018159 | Medicaid | NC | |
| NC6987H | Other | NC | NC MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, HI, SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Great Falls CT
Suite 100
Knightdale, NC 27545-7307
Phone (919) 781-1437
11618 Clayton Boulevard
Suite 102
Clayton, NC 27520
Phone (919) 781-1437
150 Pkwy Office CT
Suite 100
Cary, NC 27518-0002
Phone (919) 781-1437
2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 881-0100
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000
3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437
601 Attain St
Suite 100
Fuquay Varina, NC 27526-1972
Phone (919) 781-1437
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
- Wilson Medical Center
- Duke University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 93.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.55 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash X-Ray Associates PA | Current | Accepting new patients | |
| Raleigh Radiology Wakemed Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients |
Locations
11618 Clayton Blvd
Ste 102
Clayton, NC 27520
3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581
117 Roundabout Ct
Rocky Mount, NC 27804
Phone (252) 443-4024
11640 Northpark Dr
Ste 110
Wake Forest, NC 27587
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Wake Forest, NC
- NPI 1821694381
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1093723538
-
- Specialist
- Raleigh, NC
- NPI 1003882937
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilson, NC
- NPI 1215359922
-
- Psychiatric Hospital Unit
- Wilson, NC
- NPI 1386196459
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1013018159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 GREENS DAIRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164612",
"telephone_number": "919-256-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 TATE SPRINGS RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011109",
"telephone_number": "434-200-5047"
}
],
"practiceLocations": [
{
"address_1": "3186 Village Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043979",
"country_code": "US",
"telephone_number": "910-486-5700",
"fax_number": "910-486-5950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5220 Greens Dairy Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276164612",
"country_code": "US",
"telephone_number": "919-350-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSBY",
"first_name": "KENNETH",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200101032",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101271324",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "85214",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200101032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013018159",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICARE PTAN",
"identifier": "NC6987H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.