Individual provider Active NPI

Kevin P Perry, MD

  • Urology Physician
  • Cary, NC
National Provider Identifier
1114914223
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2007-01319 Issued in NC
Practice address
110 Kildaire Park Dr Ste 500
Cary, NC 27518-8161
Phone
(919) 467-3203
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2007-01319 NC Primary

Addresses

Primary practice location

110 Kildaire Park Dr Ste 500
Cary, NC 27518-8161

Mailing address

105 SW Cary Pkwy
Suite 300
Cary, NC 27511-5600
Phone (919) 467-3203

Other practice location 1

105 SW Cary Pkwy
Suite 300
Cary, NC 27511-5600
Phone (919) 467-3203

Other identifiers 2

IdentifierTypeStateIssuer
5908477MedicaidNC
820574614OtherNCTAX ID

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
I20080128000354 NC Practitioner - Urology 0749211241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wright State University Boonshoft School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Urologists of North Carolina PAGroup PAC ID 9537341268, 29 clinicians

Practice addresses (Care Compare)

110 Kildaire Park Dr
Suite 500
Cary, NC 27518-8164
Phone (919) 467-3203

3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 758-8677

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01319NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC Urology CurrentSince Aug 1, 2025 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
DLP Central Carolina Medical Group LLC Urology CurrentSince Jan 1, 2021 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Aug 1, 2025 Accepting new patients
Nufinity, LLC Past Accepting new patients
Eastern Nephrology Associates PLLC Past Accepting new patients
Alliance Physician Services, PC Urology Past Accepting new patients

Locations

110 Kildaire Park Dr
Ste 500
Cary, NC 27518
Phone (919) 467-3203

700 Tilghman Dr
Ste 702
Dunn, NC 28334
Phone (910) 891-4202

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

3821 Ed Dr
Raleigh, NC 27612
Phone (919) 758-8677

1139 Carthage St
Ste 110B
Sanford, NC 27330
Phone (919) 775-3123

1139 Carthage St
Sanford, NC 27330
Phone (615) 920-7906

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

Interoperability endpoints

  • Direct secure messaging: kevin.perrymd.p1@direct.associatedurologists.nextgenshare.com

Organizations & group practices 8

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 5

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1114914223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SW CARY PKWY",
            "address_2": "SUITE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115600",
            "telephone_number": "919-467-3203",
            "fax_number": "919-459-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KILDAIRE PARK DR STE 500",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188161",
            "telephone_number": "919-467-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 SW Cary Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115600",
            "country_code": "US",
            "telephone_number": "919-467-3203",
            "fax_number": "919-459-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2007-01319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908477",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "820574614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.