Individual provider Active NPI

John D Kilde, MD

  • Otolaryngology Physician
  • Albemarle, NC
National Provider Identifier
1023094026
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
NC200300630 Issued in NC
Practice address
1908 Hilco St
Suite a
Albemarle, NC 28001-6387
Phone
(704) 983-5350
Fax
(704) 983-5370
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NC200300630 NC Primary

Addresses

Primary practice location

1908 Hilco St
Suite a
Albemarle, NC 28001-6387

Mailing address

1908 Hilco St
Suite a
Albemarle, NC 28001-6388
Phone (704) 983-5350

Other identifiers 5

IdentifierTypeStateIssuer
89134PGMedicaidNC
134PGOtherNCBCBSNC
Q0063YOtherSCMEDICAID-SC
P01370658OtherNCMEDICARE RAILROAD
9328154OtherNCCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkilde5637@direct.ceenta.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000693 NC Practitioner - Otolaryngology 4284801176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Eye Ear Nose and Throat Associates PAGroup PAC ID 0446155451, 181 clinicians

Practice addresses (Care Compare)

1908 Hilco St
Suite a
Albemarle, NC 28001-6388
Phone (704) 983-5350

Hospital & facility affiliations

  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NC200300630NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Jul 1, 2014 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Otolaryngology CurrentSince Jul 1, 2014 Accepting new patients

Locations

1908 Hilco St
Ste A
Albemarle, NC 28001
Phone (704) 982-8686

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

2325 W Arbors Dr
Ste 201
Charlotte, NC 28262
Phone (704) 295-3500

645 Amalia St NE
Concord, NC 28025
Phone (704) 295-3255

Interoperability endpoints

  • Direct secure messaging: jkilde5637@direct.ceenta.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1023094026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 HILCO ST",
            "address_2": "SUITE A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016388",
            "telephone_number": "704-983-5350",
            "fax_number": "704-983-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HILCO ST",
            "address_2": "SUITE A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016387",
            "telephone_number": "704-983-5350",
            "fax_number": "704-983-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDE",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "NC200300630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134PG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "134PG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-SC",
            "identifier": "Q0063Y",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01370658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9328154",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkilde5637@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "1908 Hilco St",
            "address_2": "Suite A",
            "city": "Albemarle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280016387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.