Individual provider Active NPI

Kyle Scott Spinrad, PA-C

  • Physician Assistant
  • Chapel Hill, NC
National Provider Identifier
1174919880
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09832 Issued in NC
Practice address
102 Mason Farm Rd FL 2
Chapel Hill, NC 27514-4617
Phone
(984) 974-5700
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09832 NC Primary

Addresses

Primary practice location

102 Mason Farm Rd FL 2
Chapel Hill, NC 27514-4617

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491

Other practice location 1

1120 SE Cary Pkwy Ste 100
Cary, NC 27518-7413
Phone (919) 467-4992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kspinrad655943@direct.UNC.nchie.net Direct

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
I20200715000149 NC Practitioner - Physician Assistant 0749591766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

102 Mason Farm Rd
Chapel Hill, NC 27514-4617

1181 Weaver Dairy Rd
Chapel Hill, NC 27514-1870

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

6118 Farrington Rd
Suite a
Chapel Hill, NC 27517-8108
Phone (984) 974-9977

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Feb 6, 2023 Accepting new patients
Resurgens, LLC PastSince Mar 1, 2022 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

102 Mason Farm Rd
Chapel Hill, NC 27514
Phone (919) 966-1459

102 Mason Farm Rd
Fl 2
Chapel Hill, NC 27514
Phone (984) 215-5130

1181 Weaver Dairy Rd
Ste 110
Chapel Hill, NC 27514
Phone (984) 974-5080

6118 Farrington Rd
Ste A
Chapel Hill, NC 27517
Phone (984) 974-9977

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: kyle.spinrad@1100.chartlogic.direct-ci.com
  • Direct secure messaging: kspinrad655943@direct.unc.nchie.net

Organizations & group practices 4

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 1

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1174919880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MASON FARM RD FL 2",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144617",
            "telephone_number": "984-974-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 SE Cary Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187413",
            "country_code": "US",
            "telephone_number": "919-467-4992",
            "fax_number": "919-481-9607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINRAD",
        "first_name": "KYLE",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kspinrad655943@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "102 Mason Farm Rd Fl 2",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.