Kaori Miyata Longphre, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

200600372 Issued in NC

Practice address

705 Green Valley Road
Greensboro, NC 27408

Phone

(336) 272-0012

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, TN2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Covenant Anesthesia Group, PC

  • Anesthesiology Physician
  • Oak Ridge, TN
  • NPI 1639148117
  Medicare reassignment Care Compare group NPD
• Gate City Anesthesia, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Greensboro, NC
  • NPI 1225135361
  Medicare reassignment NPD
• Surgical Center of Greensboro, LLC

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
  • NPI 1245288257
  NPD

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

• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1679767263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21A OAK BRANCH DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072145",
            "telephone_number": "336-478-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GREEN VALLEY ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-272-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGPHRE",
        "first_name": "KAORI",
        "middle_name": "MIYATA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "200600372",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200600372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Long
• Kimberly Lynnette Long, LCSW
• Lydia Long, LCSWA,LCAS
• Scott David Long, PA-C
• Susan Westlake Longerbone, LOC NCC CEAP MAC
• Longs Rest Home for the Aged
• Longs Rest Home III
• Veronica Longville, D.D.S.
• Robert W Lonon, MD
• Christopher M Lootens, M.A.

• Anesthesiology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.