Active NPI
Kerry Eileen Chandler, M.D.
- Diagnostic Radiology Physician
- Raleigh, NC
National Provider Identifier
1285692244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 96-01755
- Practice address
- 3949 Browning PL
Raleigh, NC 27609-6504 - Phone
- (919) 787-8221
- Fax
- (919) 789-4461
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 96-01755 | NC | Primary |
Addresses
Primary practice location
3949 Browning PL
Raleigh, NC 27609-6504
Mailing address
PO Box 19368
Raleigh, NC 27619-9368
Phone (919) 787-8221
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300071498 | Other | NC | RAILROAD MEDICARE |
| 79463 | Other | NC | MEDCOST |
| 1031J | Other | NC | BLUECROSS BLUESHIELD |
| 891031J | Medicaid | NC | |
| 16-54688 | Other | NC | UNITED HEALTHCARE |
| 300071496 | Other | NC | RAILROAD MEDICARE |
| 16-54690 | Other | NC | UNITED HEALTHCARE |
| 300071497 | Other | NC | RAILROAD MEDICARE |
| 78137 | Other | NC | MEDCOST |
| 79461 | Other | NC | MEDCOST |
| 16-54689 | Other | NC | UNITED HEALTHCARE |
Other names 1
- Kerry Eileen Weinrich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-01755 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1285692244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19368",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276199368",
"telephone_number": "919-787-8221",
"fax_number": "919-789-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 BROWNING PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096504",
"telephone_number": "919-787-8221",
"fax_number": "919-789-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "KERRY",
"middle_name": "EILEEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "96-01755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300071498",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "79463",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "1031J",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891031J",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "16-54688",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300071496",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "16-54690",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300071497",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "78137",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "79461",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "16-54689",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "WEINRICH",
"middle_name": "EILEEN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.