Individual provider Active NPI

Robert Jeffrey Kastner, MD

  • Family Medicine Physician
  • Burgaw, NC
National Provider Identifier
1194740647
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27608 Issued in NC
Practice address
311 S Campbell St
Burgaw, NC 28425-5011
Phone
(910) 799-1810
Fax
(910) 452-2571
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27608 NC Primary

Addresses

Primary practice location

311 S Campbell St
Burgaw, NC 28425-5011

Mailing address

8811 Sawmill Creek LN
Wilmington, NC 28411-8353
Phone (910) 547-1910

Other identifiers 1

IdentifierTypeStateIssuer
NCG333AOtherNCPTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916001014 NC Practitioner - Family PracticePractitioner - Emergency Medicine 6406756774 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jul 28, 2023 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Dec 30, 2025 Accepting new patients
North Carolina Emergency Physicians, PLLC PastSince Feb 9, 2020 Accepting new patients
Theoria Medical Family Medicine Past Accepting new patients
Southeastern Medical Group, P.a. Past Accepting new patients
Med Care of North Carolina PLLC Family Medicine PastSince Mar 12, 2001 Accepting new patients
Family Care Clinic, P.a. Family Medicine PastSince Jan 13, 2018 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

128 Snow Hill St
Ayden, NC 28513
Phone (252) 746-8223

311 S Campbell St
Burgaw, NC 28425
Phone (910) 259-6007

100 Silver Bluff Dr
Canton, NC 28716
Phone (828) 648-2004

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

303 E Carver St
Durham, NC 27704
Phone (725) 710-9338

969 Cox Rd
Gastonia, NC 28054
Phone (704) 266-8596

2401 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 736-2121

215 College St
Graham, NC 27253
Phone (336) 228-8394

2275 Ruin Creek Rd
Henderson, NC 27537
Phone (252) 325-4535

3031 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-3343

225 White St
Jacksonville, NC 28546
Phone (910) 353-7222

1839 Onslow Dr
Jacksonville, NC 28540
Phone (910) 455-3610

540 Waugh St
Jefferson, NC 28640
Phone (336) 246-5581

312 Warren Ave
Kinston, NC 28501
Phone (252) 523-0082

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

205 Rattlesnake Trl
Pinehurst, NC 28374
Phone (910) 295-1781

1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273

300 N Main St
Rich Square, NC 27869
Phone (252) 539-3901

320 N Main St
Rich Square, NC 27869
Phone (252) 439-4161

1304 SE Second St
Snow Hill, NC 28580
Phone (252) 747-8126

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Laurels of PenderBurgaw, NC, CCN 345298 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1194740647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 SAWMILL CREEK LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118353",
            "telephone_number": "910-547-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CAMPBELL ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255011",
            "telephone_number": "910-799-1810",
            "fax_number": "910-452-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTNER",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "NCG333A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

Verify at the official NPI Registry.