Individual provider Active NPI

Fernando Crotte, M.D.

  • Hospitalist Physician
  • Kernersville, NC
National Provider Identifier
1619968864
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2008-01666 Issued in NC
Practice address
1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone
(336) 564-4866
Fax
(336) 564-4869
NPI assigned
Nov 4, 2005
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 35-048486 OH
Internal Medicine Physician 207R00000X 2008-01666 NC
Hospitalist Physician 208M00000X 2008-01666 NC Primary

Addresses

Primary practice location

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 564-4866

Other identifiers 1

IdentifierTypeStateIssuer
1619968864MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fcrotte165192@direct.novanthealth.org

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
I20081104000481 NC Practitioner - Internal Medicine 5092610030 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01666NCMDInternal Medicine Physician
35-048486OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 28, 2018 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Dec 12, 2010 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 28, 2018 Accepting new patients
Hospitalist Medicine Physicians of Durham County, PLLC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Forsyth County, PLLC Internal Medicine Past Accepting new patients

Locations

428 Biltmore Ave
Fl 4
Asheville, NC 28801
Phone (828) 213-5400

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

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

Organizations & group practices 8

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1619968864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-564-4866",
            "fax_number": "336-564-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KERNERSVILLE MEDICAL PKWY",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847146",
            "telephone_number": "336-564-4866",
            "fax_number": "336-564-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTE",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-048486",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01666",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-01666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619968864",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fcrotte165192@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1750 Kernersville Medical Pkwy",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272847146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.