Robert Everett Qualheim, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

28557 Issued in NC

Practice address

1321 N Bridge St
Elkin, NC 28621-2303

Phone

(336) 530-4491

Fax

(949) 561-5143

NPI assigned

Feb 15, 2006

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nephrology

Education

Wake Forest University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert-qualheim@brnephrology.e-mdsdirect.com
• Direct secure messaging: robert.qualheim.2@22036.direct.athenahealth.com
• Direct secure messaging: rqualheim@hcn.gwaydirect.com

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.

• Watauga Medical Center, Inc.

  dba Watauga Medical Center

  • Hospitalist Physician
  • Boone, NC
  • NPI 1528134194

  Nephrology

  Medicare reassignment Care Compare group NPD
• Hugh Chatham Memorial Hospital, Inc.

  dba Clingman Medical Center

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc.

  dba Cannon Inpatient Physician Group

  • Hospitalist Physician
  • Linville, NC
  • NPI 1821403957
  Medicare reassignment
• BRMG-PC

  • Cardiovascular Disease Physician
  • Elkin, NC
  • NPI 1477985430
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Hugh Chatham Family Medicine

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1134372477
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Tri-County Orthopedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD
• Watauga Medical Center Inc

  dba UNC Health Appalachian

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD
• Watauga Medical Center Inc

  dba Watauga Medical Center ekg int

  • Cardiovascular Disease Physician
  • Boone, NC
  • NPI 1336215821
  NPD
• Bio-Medical Applications of Tennessee, Inc.

  dba FMC Dialysis Services Mountain City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mountain City, TN
  • NPI 1508978321
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Watauga Medical Center Inc

  dba Watauga Medical Center

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1528032687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212303",
            "telephone_number": "336-530-4491",
            "fax_number": "949-561-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212303",
            "telephone_number": "336-530-4491",
            "fax_number": "949-561-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALHEIM",
        "first_name": "ROBERT",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "28557",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "28557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prism Medical Products, L.L.C.
• Pruitthealth - Elkin, LLC (PruittHealth - Elkin)
• Karen Reece Puckett, MSN, NP-C
• Lory Elizabeth Puckett, NP
• Carol K. Pulley, M.A.
• Susan Marie Quirk, PA-C
• William Hubert Radford Jr., D.D.S.
• Adrian Nicole Ramey, CNM
• Robin C Ray, M.D.
• Emily Mullis Reid, D.C.

• Nephrology Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.