Individual provider Active NPI

Jeffrey A Klein, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1629024070
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2001-0253 Issued in NC
Practice address
1900 Randolph Rd
Ste 900
Charlotte, NC 28207-1106
Phone
(704) 377-2424
Fax
(704) 377-2687
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2001-0253 NC Primary

Addresses

Primary practice location

1900 Randolph Rd
Ste 900
Charlotte, NC 28207-1106

Mailing address

1900 Randolph Rd
Ste 900
Charlotte, NC 28207-1106
Phone (704) 377-2424

Other identifiers 3

IdentifierTypeStateIssuer
N00254MedicaidSC
128NVOtherNCBCBSNC
89-128NVMedicaidNC

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
I20041220000876 NC Practitioner - Emergency Medicine 9830157031 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-0253NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed P.C. CurrentSince Jan 8, 2024 Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 15, 2009 Accepting new patients
North Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 15, 2010 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 5, 2018 Accepting new patients
Fastmed Primary Care, P.C. Current Accepting new patients
Arizona Pulmonary Specialists LTD PastSince Jan 1, 1997 Accepting new patients
Texan Urgent Care PLLC Emergency Medicine PastSince Jun 6, 2021 Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

160 Hendersonville Rd
Asheville, NC 28803
Phone (828) 210-2835

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

1903 Addison Ave
Wilkesboro, NC 28697
Phone (336) 667-2710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1629024070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD",
            "address_2": "STE 900",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071106",
            "telephone_number": "704-377-2424",
            "fax_number": "704-377-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD",
            "address_2": "STE 900",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071106",
            "telephone_number": "704-377-2424",
            "fax_number": "704-377-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2001-0253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00254",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "128NV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-128NV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.