NPIMap

Individual provider Active NPI

Kathleen A Doman, M.D.

  • Specialist
  • Charlotte, NC
National Provider Identifier
1396708269
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39726 Issued in NC
Practice address
8401 University Exec Park Dr Ste 123
Charlotte, NC 28262-1358
Phone
(704) 503-4400
Fax
(704) 503-4030
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 39726 NC
Specialist 174400000X 39726 NC Primary

Addresses

Primary practice location

8401 University Exec Park Dr Ste 123
Charlotte, NC 28262-1358

Mailing address

8401 University Exec Park Dr Ste 123
Charlotte, NC 28262-1358
Phone (704) 503-4400

Other identifiers 1

IdentifierTypeStateIssuer
7928814MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000961 NC Practitioner - Nephrology 1759304959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Duke University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology and Hypertension Consultants,PAGroup PAC ID 4880608314, 3 clinicians

Practice addresses (Care Compare)

8401 University Exec Park Dr
Suite 123
Charlotte, NC 28262-1358
Phone (704) 503-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39726NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Consultants,PA Specialist CurrentSince Nov 10, 1993 Accepting new patients
Carolina Asthma and Allergy Center PA Past Accepting new patients

Locations

8220 University Exec Park Dr
Ste 125
Charlotte, NC 28262
Phone (704) 503-4400

8401 University Exec Park Dr
Ste 123
Charlotte, NC 28262
Phone (704) 503-4400

Interoperability endpoints

  • Direct secure messaging: kathleen.doman@direct.nephrologynhc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1396708269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621358",
            "telephone_number": "704-503-4400",
            "fax_number": "704-503-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621358",
            "telephone_number": "704-503-4400",
            "fax_number": "704-503-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAN",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "39726",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "39726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7928814",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.