NPIMap

Individual provider Active NPI

John Keku, MD

  • Emergency Medicine Physician
  • Hamlet, NC
National Provider Identifier
1073650685
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
93-00181 Issued in NC
Practice address
1000 W Hamlet Ave
Hamlet, NC 28345-4522
Phone
(910) 205-8171
Fax
(800) 305-3233
NPI assigned
Jan 31, 2007
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 93-00181 NC Primary

Addresses

Primary practice location

1000 W Hamlet Ave
Hamlet, NC 28345-4522

Mailing address

204 Cates Farm Rd
Chapel Hill, NC 27516-7766
Phone (919) 932-7129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041202000108 NC Practitioner - Emergency MedicinePractitioner - Internal Medicine 5991761942 Reassigns benefits to 3 organizations
I20260402002699 WV Practitioner - Emergency Medicine 5991761942 Reassigns benefits to 1 organization
I20260507000798 GA Practitioner - Internal Medicine 5991761942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Alliance, Inc.Group PAC ID 5799689105, 9 clinicians
Erx Group LLCGroup PAC ID 9335037571, 16 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101

302 S Wayne St
Alma, GA 31510-2922
Phone (229) 434-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
87.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93-00181NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alleghany Emergency Group LLC Emergency Medicine CurrentSince Jul 10, 2015 Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
Erx Group, LLC Emergency Medicine CurrentSince Nov 8, 2017 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
National Emergency Services North Carolina Inc Emergency Medicine Past Accepting new patients
Hamlet Hma Inc Past Accepting new patients
Vance Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast, Inc Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

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

958 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-3523

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1073650685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CATES FARM RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167766",
            "telephone_number": "919-932-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HAMLET AVE",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454522",
            "telephone_number": "910-205-8171",
            "fax_number": "800-305-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "93-00181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

Verify at the official NPI Registry.