Individual provider Active NPI

Kishore Roy Chowdhury, M.D

  • Internal Medicine Physician
  • Kinston, NC
National Provider Identifier
1043433790
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007-01262 Issued in NC
Practice address
100 Airport Rd
Lenoir Memorial Hospital
Kinston, NC 28501-1604
Phone
(252) 522-7000
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-01262 NC Primary

Addresses

Primary practice location

100 Airport Rd
Lenoir Memorial Hospital
Kinston, NC 28501-1604

Mailing address

2246 Autumn Dr
Kinston, NC 28501-7222
Phone (252) 523-5448

Other identifiers 1

IdentifierTypeStateIssuer
5908334MedicaidNC

Other names 1

  • Dr. Kishore Roy Chowdhury Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kchowdhury291350@direct.UNC.nchie.net Direct

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
I20071009000818 NC Practitioner - Internal MedicinePractitioner - Emergency Medicine 1951497759 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01262NCMDInternal Medicine Physician
01262NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Internal Medicine CurrentSince Sep 18, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 23, 2009 Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Lenoir HM Services LLC Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Comprehensive Hospitalist Services of North Carolina LLC Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

313 Airport Rd
Kinston, NC 28504
Phone (252) 559-2200

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1043433790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 AUTUMN DR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285017222",
            "telephone_number": "252-523-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "address_2": "LENOIR MEMORIAL HOSPITAL",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "252-522-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY CHOWDHURY",
        "first_name": "KISHORE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908334",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kchowdhury291350@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "100 Airport Rd",
            "address_2": "LENOIR MEMORIAL HOSPITAL",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KISHORE",
            "last_name": "ROY CHOWDHURY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.