NPIMap

Individual provider Active NPI

Anthony Joseph Kummer, MD

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1215909106
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9400091 Issued in NC
Practice address
50 Miller St Ste G
Winston Salem, NC 27104-4206
Phone
(336) 718-1000
Fax
(336) 718-1065
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9400091 NC Primary

Addresses

Primary practice location

50 Miller St Ste G
Winston Salem, NC 27104-4206

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-1000

Other practice location 1

250 Charlois Blvd
Winston-Salem, NC 27103-1508
Phone (336) 718-1000

Other identifiers 1

IdentifierTypeStateIssuer
8950353MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akummer11191@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090316000669 NC Practitioner - Internal Medicine 9830256015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

250 Charlois Blvd
Winston Salem, NC 27103-1508
Phone (336) 718-1575

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Winston-Salem, NC, CCN 347005
  • Centerwell Home Health Home health agency, Winston-Salem, NC, CCN 347174
  • Amedisys Home Health of Winston Salem Home health agency, Winston-Salem, NC, CCN 347212
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Arbor Acres United Methodist Retirement Community Nursing home, Winston Salem, NC, CCN 345573

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Nov 17, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 9, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 17, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 9, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

50 Miller St
Winston Salem, NC 27104
Phone (336) 310-5535

50 Miller St
Ste G
Winston Salem, NC 27104
Phone (336) 718-1000

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

1381 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-0100

250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

190 Kimel Park Dr
Ste 131
Winston Salem, NC 27103
Phone (336) 718-5763

Interoperability endpoints

  • Direct secure messaging: akummer11191@direct.novanthealth.org

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.

Hospital & facility affiliations 11

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1215909106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-1000",
            "fax_number": "336-718-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MILLER ST STE G",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044206",
            "telephone_number": "336-718-1000",
            "fax_number": "336-718-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271031508",
            "country_code": "US",
            "telephone_number": "336-718-1000",
            "fax_number": "336-718-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMMER",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950353",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akummer11191@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "250 Charlois Blvd",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.