Active NPI
Kevin P Perry, MD
- Urology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2007-01319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908477 | Medicaid | NC | |
| 820574614 | Other | NC | TAX 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
Enrollment records 1
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
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
- Wakemed, Cary Hospital
- Betsy Johnson Regional Hospital
- Rex Hospital
- Sampson Regional Medical Center
- Vidant Duplin Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-01319 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services, PC | Urology | Current | Accepting new patients |
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Urology | Current | Accepting new patients |
| Alliance Physician Services, PC | Urology | Current | 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
- 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.
-
dba Associated Urologists of North Carolina
- Urology Physician
- Raleigh, NC
- NPI 1639963531
-
- Urology Physician
- Raleigh, NC
- NPI 1568767002
-
dba Central Caroling Urology
- Urology Physician
- Sanford, NC
- NPI 1184163883
-
dba Associated Urologists of North Carolina
- Urology Physician
- Wake Forest, NC
- NPI 1316811888
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
-
- Nephrology Physician
- Greenville, NC
- NPI 1417083783
-
- Vascular & Interventional Radiology Physician
- Lafayette, IN
- NPI 1477506319
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ECU Health Duplin Hospital
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
-
dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital
- General Acute Care Hospital
- Dunn, NC
- NPI 1922144757
-
- General Acute Care Hospital
- Clinton, NC
- NPI 1609857432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.