Individual provider Active NPI

Kristina Margaret Lindefjeld Bianco, MD

  • Pediatrics Physician
  • Winston Salem, NC
National Provider Identifier
1548766470
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2023-01427 Issued in NC
Practice address
1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006
Phone
(336) 713-9800
Fax
(336) 713-9641
NPI assigned
Mar 31, 2018
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 309393 NY
Pediatrics Physician 208000000X 2023-01427 NC Primary

Addresses

Primary practice location

1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-0238

Other practice location 1

525 E 68th St # M622
New York, NY 10065-4870
Phone (212) 746-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210924000592 NY Practitioner - Pediatric Medicine 4082944913 Reassigns benefits to 3 organizations
I20240117000215 NC Practitioner - Pediatric Medicine 4082944913

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309393NYMDLicensed Practical Nurse
2023-01427NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Pediatrics Current Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 30, 2022 Accepting new patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Sep 1, 2024 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Sep 1, 2024 Accepting new patients
Weill Medical College of Cornell Pediatrics CurrentSince Nov 30, 2022 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

525 E 68th St
#M622
New York, NY 10065
Phone (212) 746-3400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kristina.bianco.p1@direct.cwpw.nextgenshare.com
  • Direct secure messaging: ndd9006@direct.nyp.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1548766470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MARTIN LUTHER KING JR DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013006",
            "telephone_number": "336-713-9800",
            "fax_number": "336-713-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St # M622",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "KRISTINA",
        "middle_name": "MARGARET LINDEFJELD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "309393",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2023-01427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.