Individual provider Active NPI

Stephen P Kikel, MD

  • Family Medicine Physician
  • Yanceyville, NC
National Provider Identifier
1386606275
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38108 Issued in NC
Practice address
439 US Highway 158 W
Yanceyville, NC 27379-8304
Phone
(336) 694-9331
Fax
(336) 694-4209
NPI assigned
Apr 5, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38108 NC
Family Medicine Physician 207Q00000X 38108 NC Primary

Addresses

Primary practice location

439 US Highway 158 W
Yanceyville, NC 27379-8304

Mailing address

439 US Highway 158 W
Yanceyville, NC 27379-8304
Phone (336) 694-9331

Other identifiers 2

IdentifierTypeStateIssuer
48939OtherNCBCBS
6948939MedicaidNC

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
I20031208000107 NC Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 0446155923 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Health Care Inc CurrentSince Apr 3, 2017 Accepting new patients
Compassion Health Care Inc Current Accepting new patients
Compassion Health Care Inc CurrentSince Apr 3, 2017 Accepting new patients

Locations

439 US Highway 158 W
Yanceyville, NC 27379
Phone (336) 694-9331

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHCADA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1386606275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "336-694-9331",
            "fax_number": "336-694-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "336-694-9331",
            "fax_number": "336-694-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKEL",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "38108",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48939",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6948939",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

Verify at the official NPI Registry.