NPIMap

Individual provider Active NPI

Stephen Ernest McKim, MD

  • Urology Physician
  • Charlotte, NC
National Provider Identifier
1629239256
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2013-00734 Issued in NC
Practice address
12610 N Community House Rd Ste 100
Charlotte, NC 28277-3892
Phone
(704) 752-3730
Fax
(704) 752-9056
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36486 SC
Urology Physician 208800000X 2013-00734 NC Primary

Addresses

Primary practice location

12610 N Community House Rd Ste 100
Charlotte, NC 28277-3892

Mailing address

9735 Kincey Ave
Suite 201
Huntersville, NC 28078-9118
Phone (704) 414-2870

Other identifiers 1

IdentifierTypeStateIssuer
NC2277MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131009000540 NC Practitioner - Urology 5890929715 Reassigns benefits to 2 organizations
I20150124000033 SC Practitioner - Urology 5890929715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Urology Partners PLLCGroup PAC ID 8921280587, 37 clinicians
Stone Institute of the Carolinas LLCGroup PAC ID 3173412533, 29 clinicians

Practice addresses (Care Compare)

10650 Park Rd
Suite 130
Charlotte, NC 28210-8538
Phone (704) 752-3730

1780 Medical Park Dr
Rock Hill, SC 29732-1194
Phone (803) 327-1116

215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120

9735 Kincey Ave
Huntersville, NC 28078-9120

Hospital & facility affiliations

  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00734NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Institute of the Carolinas LLC Urology CurrentSince Dec 9, 2013 Accepting new patients
Carolina Urology Partners PLLC Urology CurrentSince Sep 3, 2013 Accepting new patients
Gaston Urological Associates, P.a. Urology PastSince Jul 17, 1995 Accepting new patients
Carolina Urology Partners, PLLC Urology Past Accepting new patients

Locations

12610 N Community House Rd
Ste 100
Charlotte, NC 28277
Phone (704) 610-3220

10650 Park Rd
Ste 130
Charlotte, NC 28210
Phone (704) 752-3730

631 Cox Rd
Gastonia, NC 28054
Phone (704) 864-7764

9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870

9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865

1780 Medical Park Dr
Rock Hill, SC 29732
Phone (803) 327-1116

Interoperability endpoints

  • Direct secure messaging: smckim537483@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: stephen.mckim.p1@direct.cup.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1629239256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-414-2870",
            "fax_number": "704-414-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 N COMMUNITY HOUSE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773892",
            "telephone_number": "704-752-3730",
            "fax_number": "704-752-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "STEPHEN",
        "middle_name": "ERNEST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "36486",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2013-00734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.