Active NPI
Kimberly Caulway, MD
- Family Medicine Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200501064
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906495 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501064 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.