Individual provider Active NPI

Kenneth K Steinweg, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Greenville, NC
National Provider Identifier
1316929797
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
22441 Issued in NC
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

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80106309OtherNCRAILROAD MEDICARE
79665OtherNCBCBS NC
8979665MedicaidNC

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
I20101104000698 NC Practitioner - Family PracticePractitioner - Geriatric Medicine 2860686730 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jan 12, 2014 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 12, 2014 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.

FacilityTypeRoleSince
Croasdaile VillageDurham, NC, CCN 345501 Skilled nursing facility Corporate Director Nov 4, 2021
Wesley Pines Retirement CommunityLumberton, NC, CCN 345180 Skilled nursing facility Corporate Director Nov 4, 2021
Cypress Glen Retirement CommunityGreenville, NC, CCN 345512 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.

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.

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

Verify at the official NPI Registry.