Individual provider Active NPI

Kamlesh Krishna Mistri, PA-C

  • Medical Physician Assistant
  • Hickory, NC
National Provider Identifier
1326115650
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-00799 Issued in NC
Practice address
3031 Tate Blvd SE
Hickory, NC 28602-1455
Phone
(828) 322-3343
Fax
(828) 322-6023
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-00799 NC Primary

Addresses

Primary practice location

3031 Tate Blvd SE
Hickory, NC 28602-1455

Mailing address

9935D Rea Rd Ste 324
Charlotte, NC 28277-6710
Phone (980) 202-4202

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000498 NC Practitioner - Physician Assistant 3678554037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.95 of 100Reported as group
Quality
38.38
Promoting interoperability
59
Improvement activities
40
Cost
78.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00799NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Urgent Care of Mountain View LLC CurrentSince Apr 26, 2026 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Apr 21, 2025 Accepting new patients
Summit Medical Carolinas PLLC CurrentSince Nov 14, 2025 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Apr 21, 2025 Accepting new patients
Hickory Internal Medicine, Hypertension & Renal Associates Past Accepting new patients
Doctors Quick Care Past Accepting new patients

Locations

9935D Rea Rd
Charlotte, NC 28277
Phone (912) 401-9450

8430 Rea Rd
Ste E
Charlotte, NC 28277
Phone (980) 443-6788

1985 Tate Blvd SE
Ste 5
Hickory, NC 28602
Phone (980) 443-6788

3031 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-3343

2330 Brookford Blvd
Hickory, NC 28602
Phone (828) 330-2103

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Organizations & group practices 7

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1326115650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935D REA RD STE 324",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776710",
            "telephone_number": "980-202-4202",
            "fax_number": "980-580-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021455",
            "telephone_number": "828-322-3343",
            "fax_number": "828-322-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRI",
        "first_name": "KAMLESH",
        "middle_name": "KRISHNA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-00799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.