Individual provider Active NPI

Kendra Kesty, MD

  • Obstetrics & Gynecology Physician
  • Winston Salem, NC
National Provider Identifier
1568844702
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019-01603 Issued in NC
Practice address
111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749
Phone
(336) 765-9350
Fax
(336) 760-4255
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 2019-01603 NC Primary
Obstetrics & Gynecology Physician 207V00000X 38544 SC

Addresses

Primary practice location

111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749

Mailing address

96 Jonathan Lucas St
634
Charleston, SC 29425-8900

Other practice location 1

165 Cannon St
Charleston, SC 29425-7901
Phone (843) 792-7108

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
I20190809001853 NC Practitioner - Obstetrics/Gynecology 2264724434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

111 Hanestowne Court
Suite 151
Winston Salem, NC 27103-1749
Phone (919) 334-0150

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38544SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Multi-Specialty CurrentSince Jun 15, 2019 Accepting new patients
Obhg North Carolina, P.C. Multi-Specialty CurrentSince Apr 20, 2020 Accepting new patients
Whap, PA Multi-Specialty Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

200 Perimeter Park Dr
Ste B
Morrisville, NC 27560
Phone (919) 334-0150

1908 Caudle Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-9076

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150

Interoperability endpoints

  • Direct secure messaging: kendra.kesty.1@17957.direct.athenahealth.com
  • Direct secure messaging: kendra.kesty.1@7773.direct.athenahealth.com
  • Direct secure messaging: kkesty2792551@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1568844702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST",
            "address_2": "634",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANESTOWN CT STE 151",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031749",
            "telephone_number": "336-765-9350",
            "fax_number": "336-760-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Cannon St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294257901",
            "country_code": "US",
            "telephone_number": "843-792-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESTY",
        "first_name": "KENDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2019-01603",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "38544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.