Individual provider Active NPI

Dustin Richard Kilpatrick, DO

  • Gastroenterology Physician
  • Lenoir, NC
National Provider Identifier
1245690551
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2019-01207 Issued in NC
Practice address
1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone
(828) 580-7048
Fax
(828) 580-3985
NPI assigned
Feb 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2019-01207 NC Primary

Addresses

Primary practice location

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461

Mailing address

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone (828) 580-7048

Other practice location 1

730 Malcolm Blvd Ste 220
Connelly Springs, NC 28612-8079
Phone (828) 580-7048

Other practice location 2

2209 S Sterling St Ste 200
Morganton, NC 28655-4093
Phone (828) 580-6752

Other practice location 3

2134 14th Avenue Cir NW
Hickory, NC 28601-7357
Phone (828) 580-7048

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
I20220804001564 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 0042562860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
William Carey University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Healthcare Medical Group IncGroup PAC ID 9436159712, 222 clinicians

Practice addresses (Care Compare)

2209 S Sterling St
Suite 200
Morganton, NC 28655-4093
Phone (828) 580-6752

Hospital & facility affiliations

  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075
  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

2134 14th Avenue Cir NW
Hickory, NC 28601
Phone (828) 580-2129

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

Interoperability endpoints

  • Direct secure messaging: dkilpatrick843674@direct.unc.nchie.net

Organizations & group practices 4

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 5

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245690551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-580-7048",
            "fax_number": "828-580-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-580-7048",
            "fax_number": "828-580-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malcolm Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286128079",
            "country_code": "US",
            "telephone_number": "828-580-7048",
            "fax_number": "828-580-3985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 S Sterling St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554093",
            "country_code": "US",
            "telephone_number": "828-580-6752",
            "fax_number": "828-580-6754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2134 14th Avenue Cir NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286017357",
            "country_code": "US",
            "telephone_number": "828-580-7048",
            "fax_number": "828-580-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "DUSTIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2019-01207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.