Active NPI
John D Kilde, MD
- Otolaryngology Physician
- Albemarle, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- NC200300630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89134PG | Medicaid | NC | |
| 134PG | Other | NC | BCBSNC |
| Q0063Y | Other | SC | MEDICAID-SC |
| P01370658 | Other | NC | MEDICARE RAILROAD |
| 9328154 | Other | NC | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1908 Hilco St
Suite a
Albemarle, NC 28001-6388
Phone (704) 983-5350
Hospital & facility affiliations
- Stanly Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC200300630 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Eye Ear Nose & Throat Associates, PA | Current | Accepting new patients | |
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Otolaryngology | Current | 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
- 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.
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1043287469
Otolaryngology
-
- Ophthalmology Physician
- Salisbury, NC
- NPI 1801217948
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.