Individual provider Active NPI

Kimberly Caulway, MD

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1336178136
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200501064 Issued in NC
Practice address
11200 Governor Manly Way
Suite 114
Raleigh, NC 27614-6830
Phone
(919) 570-7660
Fax
(919) 570-7661
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200501064 NC Primary

Addresses

Primary practice location

11200 Governor Manly Way
Suite 114
Raleigh, NC 27614-6830

Mailing address

11200 Governor Manly Way
Suite 114
Raleigh, NC 27614-6830
Phone (919) 570-7660

Other identifiers 1

IdentifierTypeStateIssuer
5906495MedicaidNC

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
I20051020000843 NC Practitioner - Family Practice 5991721789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

100 Duke Health Cary PL
Suite 110
Cary, NC 27519-6760
Phone (919) 385-4855

10211 Alm St
Raleigh, NC 27617-8221

1901 Hillandale Rd
Durham, NC 27705-2664

3000 Rogers Rd
Wake Forest, NC 27587-5745

401 Irving Pkwy
Holly Springs, NC 27540-5301

7021 Harps Mill Rd
Raleigh, NC 27615-3240
Phone (919) 576-8480

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501064NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jun 3, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Raleigh Durham Medical Group PA Family Medicine Past Accepting new patients
Neighborhood Medical Centers, Inc Family Medicine Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 130
Holly Springs, NC 27540
Phone (919) 385-5060

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

Interoperability endpoints

  • Direct secure messaging: kcaulway434885@direct.medicine.duke.edu

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.

Hospital & facility affiliations 6

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1336178136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "address_2": "SUITE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146830",
            "telephone_number": "919-570-7660",
            "fax_number": "919-570-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "address_2": "SUITE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146830",
            "telephone_number": "919-570-7660",
            "fax_number": "919-570-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULWAY",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200501064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.