Individual provider Active NPI

Michael Patrick Kehoe, PA-C

  • Physician Assistant
  • Kernersville, NC
National Provider Identifier
1134487168
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13997 Issued in NC
Practice address
975 NC Highway 66 S
Kernersville, NC 27284-3132
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 0010-13997 NC
Physician Assistant 363A00000X 0010-13997 NC Primary

Addresses

Primary practice location

975 NC Highway 66 S
Kernersville, NC 27284-3132

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000470 NC Practitioner - Physician Assistant 5193032167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

3604 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3605 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

3610 Peters CT
High Point, NC 27265-9004
Phone (336) 883-0029

495 Arbor Hill Rd
Kernersville, NC 27284-3335
Phone (336) 883-0029

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center, PA CurrentSince Feb 5, 2024 Accepting new patients
Bethany Medical Center Pain Medicine CurrentSince Feb 5, 2024 Accepting new patients
Bethany Medical Center, PA Past Accepting new patients
Bethany Medical Center Past Accepting new patients
Bethany Medical Center Past Accepting new patients

Locations

507 N Lindsay St
High Point, NC 27262

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

3610 Peters Ct
High Point, NC 27265

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

975 NC Highway 66 S
Kernersville, NC 27284

Interoperability endpoints

  • Direct secure messaging: michaelkehoe@bethanymed.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1134487168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NC HIGHWAY 66 S",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843132",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "0010-13997",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.