Michael John Kissenberth, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

27259 Issued in SC

Practice address

701 Congaree Rd
Greenville, SC 29607-3519

Phone

(864) 248-4100

Fax

(864) 248-4105

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Orthopedic Surgery

Education

Medical University of South Carolina College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Greenville Medical Group, LLCGroup PAC ID 8921515891, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pelham Medical Center Hospital, Greer, SC, CCN 420103
• St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkissenberth1743281@direct.novanthealth.org

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.

• Novant Health Greenville Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Greenville, SC
  • NPI 1043008923
  Medicare reassignment Care Compare group NPD
• Greenville Health System

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1629432869
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pelham Medical Center

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844

  Hospital

  Care Compare affiliation
• Pelham Medical Center

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1982800397
  Care Compare affiliation
• St Francis Hospital Inc

  • Clinic/Center
  • Greenville, SC
  • NPI 1104052752

  Hospital

  Care Compare affiliation
• St Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1730123175
  Care Compare affiliation
• St Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1467496802
  Care Compare affiliation
• St Francis Hospital, Inc.

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1972127017

  Hospital

  Care Compare affiliation
• St. Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1023418035
  Care Compare affiliation
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1376899856
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1184670994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604348",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073519",
            "telephone_number": "864-248-4100",
            "fax_number": "864-248-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Patewood Dr Ste C100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156322",
            "country_code": "US",
            "telephone_number": "864-454-7422",
            "fax_number": "864-454-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSENBERTH",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "27259",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "27259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SC",
            "identifier": "576007863158",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7422707",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7359182",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272591",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE OF SC",
            "identifier": "576007863133",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00271214",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Kirn
• Melissa Rae Kirn, PT
• Michael Robert Kiser
• Harrison Mangum Kisner, MSW, LISW-CP
• Karen P Kissenberth, PT
• Olivia Kissinger
• Kent H Kistler, MD
• Lauren Kitch
• Alexis Kitchen
• Katie Booth Kitchen, CRNA

• Sports Medicine (Orthopaedic Surgery) Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.

Verify at the official NPI Registry.