Active NPI
Kenneth K Steinweg, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 22441
- Practice address
- 101 Heart Dr.
Ecu Physicians Geriatrics
Greenville, NC 27834-2829 - Phone
- (252) 744-2045
- Fax
- (252) 744-3525
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22441 | NC | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 22441 | NC | Primary |
Addresses
Primary practice location
101 Heart Dr.
Ecu Physicians Geriatrics
Greenville, NC 27834-2829
Mailing address
PO Box 751069
Ecu Physicians Family Medicine
Charlotte, NC 28275-1069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80106309 | Other | NC | RAILROAD MEDICARE |
| 79665 | Other | NC | BCBS NC |
| 8979665 | Medicaid | NC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Croasdaile Village | Skilled nursing facility | Corporate Director | Nov 4, 2021 |
| Wesley Pines Retirement Community | Skilled nursing facility | Corporate Director | Nov 4, 2021 |
| Cypress Glen Retirement Community | Skilled nursing facility | Corporate Director | Nov 4, 2021 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Lumberton, NC
- NPI 1639153919
Corporate Director
-
- Skilled Nursing Facility
- Greenville, NC
- NPI 1720412331
Corporate Director
-
- Skilled Nursing Facility
- Durham, NC
- NPI 1972587376
Corporate Director
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1316929797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"address_2": "ECU PHYSICIANS FAMILY MEDICINE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HEART DR.",
"address_2": "ECU PHYSICIANS GERIATRICS",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342829",
"telephone_number": "252-744-2045",
"fax_number": "252-744-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINWEG",
"first_name": "KENNETH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "22441",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NC",
"license": "22441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "80106309",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "79665",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979665",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.