NPIMap

Individual provider Active NPI

Adam Rea Kuykendal, M.D.

  • Medical Oncology Physician
  • Matthews, NC
National Provider Identifier
1447412713
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2010-00238 Issued in NC
Practice address
1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone
(704) 841-8151
NPI assigned
Jun 27, 2008
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125052572 IL
Hematology & Oncology Physician 207RH0003X 2010-00238 NC
Medical Oncology Physician 207RX0202X 2010-00238 NC Primary

Addresses

Primary practice location

1700 Matthews Township Pkwy
Matthews, NC 28105-4658

Mailing address

1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone (704) 841-8151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akuykendal77185@direct.novanthealth.org

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
I20111111000516 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9234303017 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

10905 Providence Rd W
Suite 150
Charlotte, NC 28277-1538
Phone (980) 302-7120

1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone (980) 302-7010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125052572ILMDInternal Medicine Physician
2010-00238NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine CurrentSince Dec 10, 2014 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Jan 27, 2013 Accepting new patients
Novant Medical Group, Inc Medical Oncology CurrentSince Aug 23, 2014 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 27, 2011 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 23, 2014 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Dec 10, 2014 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 27, 2013 Accepting new patients
The Presbyterian Hospital Hematology & Oncology Past Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946

1700 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 841-8151

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: akuykendal77185@direct.novanthealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1447412713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054658",
            "telephone_number": "704-841-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054658",
            "telephone_number": "704-841-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDAL",
        "first_name": "ADAM",
        "middle_name": "REA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125052572",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2010-00238",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2010-00238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akuykendal77185@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1700 Matthews Township Pkwy",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.