Active NPI
Carolina Internal Medicine Associates PA
Doing business as Carolina Internal Medicine
- Internal Medicine Physician
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAROLINA INTERNAL MEDICINE ASSOCIATES PA
- Doing business as
- Carolina Internal Medicine
- Practice address
- 275 McDowell St
Asheville, NC 28803-2606 - Phone
- (828) 258-0397
- Fax
- (828) 277-7815
- NPI assigned
- Nov 8, 2021
- Last updated
- Nov 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Raphael Kubitschek, MD
- Title
- Owner
- Phone
- (828) 258-0397
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
275 McDowell St
Asheville, NC 28803-2606
Mailing address
4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone (828) 258-0397
Other names 1
- Carolina Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629001069 | NC | Part B Supplier - Clinic/Group Practice | 8426034422 |
Receives reassigned benefits from 28 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Asheville, NC; Clyde, NC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Asheville, NC
- NPI 1710058086
O20040629001069
-
dba Timshel Medical
- Internal Medicine Physician
- Marion, NC
- NPI 1912416231
O20040629001069
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2247812 | Carolina Internal Medicine Associates | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Asheville, NC
- NPI 1619950730
-
- Nurse Practitioner
- Asheville, NC
- NPI 1578239042
-
- Internal Medicine Physician
- Asheville, NC
- NPI 1376679571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637193600000",
"number": "1154086858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VANDERBILT PARK DR STE 100",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032476",
"telephone_number": "828-258-0397",
"fax_number": "828-277-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MCDOWELL ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032606",
"telephone_number": "828-258-0397",
"fax_number": "828-277-7815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA INTERNAL MEDICINE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A",
"authorized_official_last_name": "KUBITSCHEK",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "RAPHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-258-0397",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carolina Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Asheville, NC
- Carol Lloyd, Inc. (MMDS of Asheville)
- Carolina Eye Care on Merrimon, O.D., P.a.
- Carolina Good Health PLLC
- Carolina Hand and Sports Medicine, P.a.
- Carolina Hand and Sports Medicine, PA
- Carolina Internal Medicine Associates, PA
- Carolina Medicorp Enterprises LLC (Novant Health GoHealth North Asheville Primary Care)
- Carolina Medicorp Enterprises, LLC (Novant Health GoHealth Urgent Care)
- Carolina Mountain Emergency Medicine PA
- Carolina Mountain Psychiatry PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.