Active NPI
Kenneth Chandler Hilty, M.D.
- Cardiovascular Disease Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2011-00375
- Practice address
- 3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616 - Phone
- (336) 279-7900
- Fax
- (336) 275-0433
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2011-00375 | NC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 30609 | SC | |
| Internal Medicine Physician | 207R00000X | 292417 | NY |
Addresses
Primary practice location
3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616
Mailing address
3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616
Phone (336) 279-7900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khilty28689@direct.conehealth.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Cincinnati College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Northline Ave
Suite 250
Greensboro, NC 27408-7619
Phone (336) 273-7900
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292417 | NY | MD | Licensed Practical Nurse |
| 30609 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Internal Medicine | Current | Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
3200 Northline Ave
Ste 250
Greensboro, NC 27408
Phone (336) 273-7900
3518 Drawbridge Pkwy
Ste 220
Greensboro, NC 27410
Phone (336) 890-3020
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
Interoperability endpoints
- khilty28689@direct.conehealth.com
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1487766267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE",
"address_2": "SUITE 250",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087616",
"telephone_number": "336-279-7900",
"fax_number": "336-275-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE",
"address_2": "SUITE 250",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087616",
"telephone_number": "336-279-7900",
"fax_number": "336-275-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILTY",
"first_name": "KENNETH",
"middle_name": "CHANDLER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2011-00375",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "30609",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "292417",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khilty28689@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "cone health direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3200 Northline Ave",
"address_2": "Suite 250",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274087616",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.