Individual provider Active NPI

Kevin M Bowman, M.D.

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1225299829
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2013-01256 Issued in NC
Practice address
2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462
Phone
(919) 782-5400
Fax
(919) 881-7746
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2013-01256 NC Primary

Addresses

Primary practice location

2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462

Mailing address

2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462
Phone (919) 782-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbowma@raleighophthalmology.imwdirect.com

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
I20130828000519 NC Practitioner - Ophthalmology 9638333818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Ophthalmology PCGroup PAC ID 8224382866, 12 clinicians

Practice addresses (Care Compare)

2709 Blue Ridge Rd
Raleigh, NC 27607-6462
Phone (919) 782-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.87 of 100Reported as group
Quality
87.16
Improvement activities
40
Cost
73.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-01256NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Ophthalmology Current Accepting new patients
Raleigh Ophthalmology PC Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

49 Healthpark Way
#101
Clayton, NC 27520
Phone (919) 782-5400

2709 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 782-5400

10880 Durant Rd
Ste 124
Raleigh, NC 27614
Phone (919) 790-2255

10880 Durant Rd
Ste 112
Raleigh, NC 27614
Phone (919) 782-5400

Interoperability endpoints

  • Direct secure messaging: kbowman11341@direct.unc.nchie.net
  • Direct secure messaging: kbowman@esp.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1225299829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-881-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-881-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2013-01256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbowma@raleighophthalmology.imwdirect.com",
            "affiliation": "N",
            "address_1": "2709 Blue Ridge Rd",
            "address_2": "Suite 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.