NPIMap

Individual provider Active NPI

Renuka Ananth Kalyan Kadali, M.D., M.S

  • Internal Medicine Physician
  • Ahoskie, NC
National Provider Identifier
1528324068
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2015-01645 Issued in NC
Practice address
500 Academy St S
Suite B-8
Ahoskie, NC 27910-3248
Phone
(252) 209-3708
NPI assigned
Apr 10, 2012
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015-01645 NC Primary

Addresses

Primary practice location

500 Academy St S
Suite B-8
Ahoskie, NC 27910-3248

Mailing address

500 Academy St S
Suite B-8
Ahoskie, NC 27910-3248
Phone (252) 209-3708

Other practice location 1

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-7161

Other practice location 2

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (910) 892-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006000070 NC Practitioner - Internal Medicine 4880902204 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380

500 Academy St S
Vidant Roanoke Chowan Hospitalists
Ahoskie, NC 27910-3248
Phone (252) 209-3708

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-7161

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Harnett Health System Inc CurrentSince Jul 29, 2023 Accepting new patients
Moses Cone Physician Services Inc CurrentSince May 13, 2024 Accepting new patients
Harnett Health System, Inc. CurrentSince Jul 29, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 31, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 11, 2015 Accepting new patients
Deaconess Hospital Inc CurrentSince May 20, 2024 Accepting new patients
Deaconess Hospital, Inc. CurrentSince May 20, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 31, 2018 Accepting new patients

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

500 Academy St S
Ste B8
Ahoskie, NC 27910
Phone (252) 209-3708

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

Interoperability endpoints

  • Direct secure messaging: rkadali10204@capefearvalley.direct-ci.com
  • Direct secure messaging: rkadali40123@direct.ecuhealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1528324068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "address_2": "SUITE B-8",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "address_2": "SUITE B-8",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345510",
            "country_code": "US",
            "telephone_number": "910-892-7161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Brightwater Dr",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "fax_number": "910-984-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADALI",
        "first_name": "RENUKA ANANTH KALYAN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-01645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.