Kenneth Alan Wolpert, P.A.-C., C.D.E.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101773 Issued in NC

Practice address

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552

Phone

(919) 556-1008

Fax

(919) 556-6099

NPI assigned

May 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Dispatchhealth, PC

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1932714284

  NC

  Medicare reassignment
• Wakemed Specialists Group, LLC

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1588227839

  NC

  Medicare reassignment
• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625

  NC

  Medicare reassignment
• Wakemed Specialists Group LLC

  • Cardiac Rehabilitation Registered Nurse
  • Raleigh, NC
  • NPI 1063304228
  NPD
• Wakemed Specialists Group, LLC

  • Otolaryngology Physician
  • Raleigh, NC
  • NPI 1053976415
  NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1093343501
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1043487036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61982",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277151982",
            "telephone_number": "919-961-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 NEW BERN AVE STE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101552",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6512 Six Forks Rd",
            "address_2": "Ste 102 B",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156561",
            "country_code": "US",
            "telephone_number": "919-961-7394",
            "fax_number": "919-870-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLPERT",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Gregory Wolk, M.D.
• Nancy Baker Wolk, OTR/L
• Randi Wolk, MA,OTR/L
• Anna Wolljung, LCMHC
• Jessica Brett Wolper, CRNA
• Mallory Woltering, RN
• Anna Binet Wolverton, NP
• Woman Care of Raleigh, PA
• Woman to Woman Gynecology PLLC
• Amygayle Law Womble

• All providers in Raleigh, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.