Individual provider Active NPI

Steven Anthony Kagan, MD

  • Vascular Surgery Physician
  • Raleigh, NC
National Provider Identifier
1508804303
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
200300051 Issued in NC
Practice address
7700 Oakmont PL
Raleigh, NC 27615-5492
Phone
(919) 790-1472
NPI assigned
Jun 3, 2006
Last updated
Sep 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 84679 SC
Vascular Surgery Physician 2086S0129X 200300051 NC Primary

Addresses

Primary practice location

7700 Oakmont PL
Raleigh, NC 27615-5492

Mailing address

7700 Oakmont PL
Raleigh, NC 27615-5492
Phone (919) 790-1472

Other identifiers 7

IdentifierTypeStateIssuer
P00016338OtherNCMEDICARE RAILROAD
133T0OtherNCBLUE CROSS BLUE SHIELD
2007013OtherNCUNITED HEALTHCARE
89133T0MedicaidNC
C6899OtherNCMEDCOST
5769414OtherNCAETNA
803526OtherNCPARTNERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, SC, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20031204000664 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 7113822990 Reassigns benefits to 2 organizations
I20040310000518 NC Practitioner - Vascular Surgery 7113822990 Reassigns benefits to 1 organization
I20220509000709 SC Practitioner - Vascular Surgery 7113822990
I20221230000484 WV Practitioner - Vascular Surgery 7113822990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

800 Wheeling Ave
FL 3
Glen Dale, WV 26038-1660
Phone (304) 845-0100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 23, 2023 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc Vascular Surgery CurrentSince Dec 29, 2021 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wheeling Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 7, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 23, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 7, 2022 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
The Vein Treatment Center, PA Past Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
Wound Care Physicians PA Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

3713 Benson Dr
Ste 201
Raleigh, NC 27609
Phone (919) 235-3400

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3713 Benson Dr
Raleigh, NC 27609
Phone (919) 235-3400

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

800 Wheeling Ave
Fl 3
Glen Dale, WV 26038
Phone (304) 845-0100

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

10 Medical Park
Ste 300
Wheeling, WV 26003
Phone (304) 242-3900

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: skagan46515@directhisp.wakemed.org
  • Direct secure messaging: skagan383173@direct.wvuhsdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1508804303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OAKMONT PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155492",
            "telephone_number": "919-790-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OAKMONT PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155492",
            "telephone_number": "919-790-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "84679",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "200300051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00016338",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "133T0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2007013",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133T0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C6899",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5769414",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "803526",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.