Individual provider Active NPI

Kenneth Chandler Hilty, M.D.

  • Cardiovascular Disease Physician
  • Greensboro, NC
National Provider Identifier
1487766267
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2011-00375 Issued in NC
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

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000609 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183896079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Cincinnati College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

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 Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292417NYMDLicensed Practical Nurse
30609SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Jul 30, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.