Individual provider Active NPI

Karen Joyce Lessaris, MD

  • Neonatal-Perinatal Medicine Physician
  • Hickory, NC
National Provider Identifier
1619900206
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
200000516 Issued in NC
Practice address
352 2ND Street, NW
Ste. 205
Hickory, NC 28601
Phone
(828) 345-0877
Fax
(828) 345-0514
NPI assigned
Jul 8, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 200000516 NC
Neonatal-Perinatal Medicine Physician 2080N0001X 200000516 NC Primary

Addresses

Primary practice location

352 2ND Street, NW
Ste. 205
Hickory, NC 28601

Mailing address

P.O. Box 1305
Hickory, NC 28603
Phone (828) 345-0877

Other identifiers 4

IdentifierTypeStateIssuer
89126HNMedicaidNC
N0051AMedicaidSC
1619900206MedicaidNC
126HNOtherNCNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klessaris536941@CarolinasHealthcareSystem.direct-ci.com

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
I20070206000230 NC Practitioner - Pediatric Medicine 7012919905 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000516NCMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Jan 1, 2007 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Neonatology Services of Hickory, PLLC Neonatal-Perinatal Medicine PastSince Aug 27, 2023 Accepting new patients
Neonatology & Pediatric Acute Care Specialists, PC PastSince Aug 27, 2023 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544

Interoperability endpoints

  • Direct secure messaging: klessaris536941@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1619900206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1305",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28603",
            "telephone_number": "828-345-0877",
            "fax_number": "828-345-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 2ND STREET, NW",
            "address_2": "STE. 205",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-345-0877",
            "fax_number": "828-345-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARIS",
        "first_name": "KAREN",
        "middle_name": "JOYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-08-16",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200000516",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "200000516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126HN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0051A",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619900206",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "126HN",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klessaris536941@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "1001 Blythe Blvd",
            "address_2": "Medical Center Plaza, Suite 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282035865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.