NPIMap

Individual provider Active NPI

Charles Samuel Kuzma, M.D.

  • Hematology & Oncology Physician
  • Pinehurst, NC
National Provider Identifier
1063469856
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2009-00759 Issued in NC
Practice address
220 Page Rd
Pinehurst, NC 28374-8748
Phone
(910) 715-3500
Fax
(910) 715-3501
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G87657 CA
Hematology & Oncology Physician 207RH0003X 2009-00759 NC Primary

Addresses

Primary practice location

220 Page Rd
Pinehurst, NC 28374-8748

Mailing address

205 Page Road
Pinehurst, NC 28374-8798
Phone (910) 295-5511

Other identifiers 3

IdentifierTypeStateIssuer
N0075KOtherSCSC MEDICAID PROVIDER#
153ATOtherBC/BS NC PROVIDER#
FH2967790OtherFIRSTCAROLINACARE PROVIDER#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000753 NC Practitioner - Hematology/Oncology 8527073857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, shared by 12 NPIs, 138 clinicians

Practice addresses (Care Compare)

251 Campground Rd
West End, NC 27376-8987
Phone (910) 715-6100

Hospital & facility affiliations

  • Firsthealth Hospice Hospice, West End, NC, CCN 341534
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G87657CAMDHematology & Oncology Physician
2009-00759NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc. CurrentSince Jul 16, 2009 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jul 16, 2009 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Firsthealth of the Carolinas, Inc CurrentSince Oct 10, 2011 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jul 6, 2009 Accepting new patients
Pinehurst Medical Clinic, Inc. Hematology & Oncology CurrentSince Jul 6, 2009 Accepting new patients
California Cancer Associates for Research and Excellence, Inc. PastSince Jan 1, 1990 Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology PastSince Jan 1, 1990 Accepting new patients
California Cancer Associates for Research and Excellence, Inc. Hematology & Oncology PastSince Jan 1, 1990 Accepting new patients
FHPG, LLC Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

251 Campground Rd
West End, NC 27376
Phone (910) 715-6000

Interoperability endpoints

  • Direct secure messaging: ckuzma13118@firsthealth.direct-ci.net

Organizations & group practices 11

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 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1063469856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE ROAD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748748",
            "telephone_number": "910-715-3500",
            "fax_number": "910-715-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "CHARLES",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G87657",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2009-00759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID PROVIDER#",
            "identifier": "N0075K",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC PROVIDER#",
            "identifier": "153AT",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE PROVIDER#",
            "identifier": "FH2967790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.