Individual provider Active NPI

Kevin M Cregan, M.D.

  • Body Imaging Physician
  • Goldsboro, NC
National Provider Identifier
1477515773
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
200501757 Issued in NC
Practice address
2700 Medical Office PL
Goldsboro, NC 27534-9460
Phone
(919) 734-1866
Fax
(919) 736-1804
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 200501757 NC
Vascular & Interventional Radiology Physician 2085R0204X 200501757 NC
Body Imaging Physician 2085B0100X 200501757 NC Primary

Addresses

Primary practice location

2700 Medical Office PL
Goldsboro, NC 27534-9460

Mailing address

PO Drawer 1757
Goldsboro, NC 27533
Phone (919) 734-1866

Other identifiers 4

IdentifierTypeStateIssuer
02898OtherNCWORK COMP
141MFOtherNCBCBS
141MFOtherNCBCBS NC STATE
5902771MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevin.cregan@direct.wayneradiologists.nchie.net Health Information Exchange (HIE)

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
I20060125000845 NC Practitioner - Diagnostic Radiology 5991747263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
84.99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501757NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Radiologists, P.a. Body Imaging CurrentSince Jul 24, 1973 Accepting new patients
Chambersburg Imaging Associates P.C. PastSince Aug 1, 2005 Accepting new patients
Team Physicians, PC Diagnostic Radiology Past Accepting new patients
Jerjis T Alajaji Diagnostic Radiology Past Accepting new patients

Locations

2700 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 736-5300

Interoperability endpoints

  • Direct secure messaging: kcregan177830@direct.unc.nchie.net

Organizations & group practices 4

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1477515773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 1757",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27533",
            "telephone_number": "919-734-1866",
            "fax_number": "919-736-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349460",
            "telephone_number": "919-734-1866",
            "fax_number": "919-736-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200501757",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "200501757",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NC",
            "license": "200501757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "02898",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141MF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC STATE",
            "identifier": "141MF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902771",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin.cregan@direct.wayneradiologists.nchie.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2700 Medical Office Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.