NPIMap

Individual provider Active NPI

Ismo Mikael Kaariainen, MD

  • Nephrology Physician
  • Boone, NC
National Provider Identifier
1083615058
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200101075 Issued in NC
Practice address
400 Shadowline Dr Ste 203
Boone, NC 28607-5022
Phone
(828) 263-8707
Fax
(828) 263-8710
NPI assigned
Aug 2, 2005
Last updated
May 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200101075 NC
Internal Medicine Physician 207R00000X 200101075 NC
Nephrology Physician 207RN0300X 200101075 NC Primary
Hospitalist Physician 208M00000X 200101075 NC

Addresses

Primary practice location

400 Shadowline Dr Ste 203
Boone, NC 28607-5022

Mailing address

400 Shadowline Dr Ste 203
Boone, NC 28607-5022
Phone (828) 263-8707

Other practice location 1

504 Mulberry St SW Ste D
Lenoir, NC 28645-5762
Phone (828) 263-8707

Other identifiers 3

IdentifierTypeStateIssuer
89129PFMedicaidNC
14262OtherNCBC
129PFOtherNCBCBS - CVMC

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
I20060622000252 NC Practitioner - Internal MedicinePractitioner - Nephrology 3173535739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 41St Ave Place NW
Hickory, NC 28601-9028
Phone (470) 771-0175

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Mar 16, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc Internal Medicine CurrentSince Mar 16, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc Internal Medicine Current Accepting new patients
DLP Frye Medical Group LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Geriatric Consultants PLLC CurrentSince Apr 5, 2025 Accepting new patients
DLP Frye Medical Group LLC Past Accepting new patients
Hickory Acute Care Specialists, PA Internal Medicine Past Accepting new patients
Fryecare Physicians , LLC Past Accepting new patients
Jackson Family Medicine and Wellness Center Inc. Past Accepting new patients

Locations

2810 16th St NE
#200
Hickory, NC 28601
Phone (828) 327-7700

415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

581 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-8146

Interoperability endpoints

  • Direct secure messaging: ismo.kaariainen.1@15786.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1083615058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR STE 203",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075022",
            "telephone_number": "828-263-8707",
            "fax_number": "828-263-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR STE 203",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075022",
            "telephone_number": "828-263-8707",
            "fax_number": "828-263-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Mulberry St SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455762",
            "country_code": "US",
            "telephone_number": "828-263-8707",
            "fax_number": "828-263-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAARIAINEN",
        "first_name": "ISMO",
        "middle_name": "MIKAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200101075",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200101075",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200101075",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "200101075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129PF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBC",
            "identifier": "14262",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - CVMC",
            "identifier": "129PF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.