Individual provider Active NPI

Kenneth Samuel Karb, M.D.

  • Medical Oncology Physician
  • Reidsville, NC
National Provider Identifier
1558455808
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
22485 Issued in NC
Practice address
2150 NC Highway 65
Reidsville, NC 27320-9609
Phone
(336) 427-9022
Fax
(336) 427-9030
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22485 NC
Hematology & Oncology Physician 207RH0003X 22485 NC
Medical Oncology Physician 207RX0202X 22485 NC Primary

Addresses

Primary practice location

2150 NC Highway 65
Reidsville, NC 27320-9609

Mailing address

2150 NC Highway 65
Reidsville, NC 27320-9609
Phone (336) 427-9022

Other identifiers 5

IdentifierTypeStateIssuer
26223OtherNCMEDCOST
4487OtherNCPARTNERS MEDICARE
4275508OtherNCAETNA
8947811MedicaidNC
47811OtherNCBCBS NC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150314000085 NC Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 6901878289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22485NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Rockingham County, Inc CurrentSince Mar 21, 2021 Accepting new patients
Hospice of Rockingham County, Inc CurrentSince Mar 21, 2021 Accepting new patients

Locations

107 W Stadium Dr
Eden, NC 27288

2150 NC Highway 65
Reidsville, NC 27320
Phone (336) 427-9022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1558455808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NC HIGHWAY 65",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209609",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NC HIGHWAY 65",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209609",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARB",
        "first_name": "KENNETH",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "22485",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "22485",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "22485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "26223",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "4487",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4275508",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947811",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "47811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.