Active NPI
Kenneth Raphael Kubitschek, M.D.
- Internal Medicine Physician
- Asheville, NC
National Provider Identifier
1619950730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29612
- Practice address
- 4 Vanderbilt Park Drive
Suite 100
Asheville, NC 28803-1700 - Phone
- (828) 258-0397
- Fax
- (828) 258-3390
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29612 | NC | Primary |
Addresses
Primary practice location
4 Vanderbilt Park Drive
Suite 100
Asheville, NC 28803-1700
Mailing address
4 Vanderbilt Park Drive
Suite 100
Asheville, NC 28803-1700
Phone (828) 258-0397
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50443 | Other | NC | BLUE CROSS NUMBER |
| 208013A | Other | NC | MEDICARE ECP |
| 7950443 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Physicians - Mountain, PA | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- kennethkubitschek@cim.allscriptsdirect.net
Organizations & group practices 1
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.
-
dba ECP North Carolina, PA
- Geriatric Medicine (Internal Medicine) Physician
- Asheville, NC
- NPI 1104823087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1619950730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VANDERBILT PARK DRIVE",
"address_2": "SUITE 100",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031700",
"telephone_number": "828-258-0397",
"fax_number": "828-258-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 VANDERBILT PARK DRIVE",
"address_2": "SUITE 100",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031700",
"telephone_number": "828-258-0397",
"fax_number": "828-258-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBITSCHEK",
"first_name": "KENNETH",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "29612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "50443",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ECP",
"identifier": "208013A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7950443",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.