Robert Everett Qualheim, M.D.
Individual provider Active NPI Nephrology Physician · Elkin, NC
NPI 1528032687 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1528032687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 28557 (NC)
- Practice address
- 1321 N Bridge St
Elkin, NC 28621-2303 - Phone
- (336) 530-4491
- Fax
- (949) 561-5143
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133
Hospital & facility affiliations
- Watauga Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051201000820 | NC | Practitioner - Nephrology | 0749212934 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh Chatham Memorial Hospital, Inc | Current |
Accepting new patients | |
| Watauga Medical Center Inc | Current |
Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc. | Current | Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc | Current |
Accepting new patients | |
| Watauga Medical Center Inc | Current |
Accepting new patients | |
| BRMG-PC | Current |
Accepting new patients | |
| Watauga Medical Center, Inc. | Nephrology | Current | Accepting new patients |
| Mark G. Wood M.D. | Nephrology | Past | Accepting new patients |
| Bio-Medical Applications of Tennessee, Inc. | Past | Accepting new patients |
Locations
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960
640 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997
380 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997
5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711
905 Rockford St
Mount Airy, NC 27030
Phone (336) 719-2440
1909 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 667-1001
Interoperability endpoints
- rqualheim@hcn.gwaydirect.com
- robert-qualheim@brnephrology.e-mdsdirect.com
- robert.qualheim.2@22036.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28557 | NC | |
| Nephrology Physician | 207RN0300X | 28557 | NC | Yes |
Addresses
Primary practice location
1321 N Bridge St
Elkin, NC 28621-2303
Mailing address
1321 N Bridge St
Elkin, NC 28621-2303
Phone (336) 530-4491
Other providers in Elkin, NC
- Prism Medical Products, L.L.C.
- Pruitthealth - Elkin, LLC
- Karen Reece Puckett
- Lory Elizabeth Puckett
- Carol K. Pulley
- Susan Marie Quirk
- Judson Daniell Rackley
- William Hubert Radford Jr.
- Adrian Nicole Ramey
- Robin C Ray
All providers in Elkin, NC · Nephrology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.