Individual provider Active NPI

Karen M Kalevas, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1417256223
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02776 Issued in NC
Practice address
522 Owen Dr
Fayetteville, NC 28304-3432
Phone
(910) 484-7183
NPI assigned
Mar 18, 2011
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02776 NC Primary

Addresses

Primary practice location

522 Owen Dr
Fayetteville, NC 28304-3432

Mailing address

522 Owen Dr
Fayetteville, NC 28304-3432
Phone (910) 484-7183

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
I20110901000433 NC Practitioner - Physician Assistant 3072783968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 687-4888

704 Progress PL
Suite a
Laurinburg, NC 28352-5545
Phone (910) 277-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-02776NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions PLLC CurrentSince Jul 8, 2024 Accepting new patients
Wake Spine and Pain Specialists, PC CurrentSince Apr 8, 2024 Accepting new patients
Integrated Pain Solutions PLLC CurrentSince Jul 8, 2024 Accepting new patients
Atlantic Radiology Associates PA Past Accepting new patients

Locations

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609
Phone (919) 737-2034

Organizations & group practices 5

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1417256223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043432",
            "telephone_number": "910-484-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043432",
            "telephone_number": "910-484-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEVAS",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.