Individual provider Active NPI

Kevin Otey Herman, M.D.

  • Neuroradiology Physician
  • Greensboro, NC
National Provider Identifier
1144515990
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
200200231 Issued in NC
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 274-6682
Fax
(336) 274-8097
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL33644 SC
Neuroradiology Physician 2085N0700X 200200231 NC Primary
Diagnostic Radiology Physician 2085R0202X 200200231 NC

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682

Other practice location 1

169 Ashley Ave
Room 202 Main Hospital MSC333
Charleston, SC 29425-8905
Phone (843) 792-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170612000347 NC Practitioner - Diagnostic Radiology 0244454452 Reassigns benefits to 2 organizations
I20250317001755 CO Practitioner - Diagnostic Radiology 0244454452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians

Practice addresses (Care Compare)

1331 N Elm St
Suite 200
Greensboro, NC 27401-6304
Phone (336) 274-6682

1666 Deer Trail Rd
Boulder, CO 80302-9446
Phone (336) 433-5000

315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 433-5000

4791 White Rock Cir
Apt F
Boulder, CO 80301-5370
Phone (336) 274-6682

6009 Griffin Dr
Colorado Springs, CO 80924-7027
Phone (336) 482-2177

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL33644SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 1720
Honolulu, HI 96814

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

1357 Kapiolani Blvd
Honolulu, HI 96814
Phone (614) 221-7773

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

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.

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1144515990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85378",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895378",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "Room 202 Main Hospital MSC333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-2300",
            "fax_number": "843-792-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "KEVIN",
        "middle_name": "OTEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL33644",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "200200231",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200200231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.