NPIMap

Organization Active NPI

Kirit D Trivedi MD PA

  • Family Medicine Physician
  • Henderson, NC
National Provider Identifier
1184681553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20854 Issued in NC
Legal business name
KIRIT D TRIVEDI MD PA
Practice address
568 Ruin Creek Road
Suite 001
Henderson, NC 27536
Phone
(252) 438-7102
Fax
(252) 438-7102
NPI assigned
Apr 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kirit D Trivedi, MDNPI 1144321530
Title
President Kirit D Trivedi MD PA
Phone
(252) 438-7102

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20854 NC Primary

Addresses

Primary practice location

568 Ruin Creek Road
Suite 001
Henderson, NC 27536

Mailing address

568 Ruin Creek Road
Suite 001
Henderson, NC 27536
Phone (252) 438-7102

Other identifiers 3

IdentifierTypeStateIssuer
432389OtherANTHEM BC BS
0142QOtherBC BS
890142QMedicaidNC

National Provider Directory

National Provider Directory

Locations

568 Ruin Creek Rd
Ste 1
Henderson, NC 27536
Phone (252) 438-7102

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184681553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK ROAD",
            "address_2": "SUITE 001",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-438-7102",
            "fax_number": "252-438-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK ROAD",
            "address_2": "SUITE 001",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-438-7102",
            "fax_number": "252-438-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRIT D TRIVEDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT KIRIT D TRIVEDI MD PA",
        "authorized_official_telephone_number": "252-438-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "432389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0142Q",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890142Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.