Active NPI
Kyle J Fletke, MD
- Family Medicine Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2014-00306
- Practice address
- 1125 N Church St
Greensboro, NC 27401-1007 - Phone
- (336) 832-8035
- NPI assigned
- May 4, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2014-00306 | NC | Primary |
Addresses
Primary practice location
1125 N Church St
Greensboro, NC 27401-1007
Mailing address
1125 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-8035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8667
29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-2100
408 W Lombard St
Baltimore, MD 21201-1601
Phone (667) 214-2100
5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100
Hospital & facility affiliations
- Vna of Maryland
- University of Maryland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-00306 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Family Medicine | Current | Accepting new patients |
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Faculty Physicians Immediate Care, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
29 S Paca St
Baltimore, MD 21201
Phone (410) 328-2603
5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603
1200 N Elm St
#5
Greensboro, NC 27401
Phone (336) 832-5777
1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100
1125 N Church St
Greensboro, NC 27401
Phone (336) 832-8035
Interoperability endpoints
- kfletke533024@direct.umm.edu
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.
-
- Specialist
- Baltimore, MD
- NPI 1053424994
-
- Urgent Care Clinic/Center
- Columbia, MD
- NPI 1972986271
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Family Medicine
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
- Specialist
- Baltimore, MD
- NPI 1417764010
-
- Specialist
- Baltimore, MD
- NPI 1619784014
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Owings Mills, MD
- NPI 1215597877
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1700178100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 N CHURCH ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011007",
"telephone_number": "336-832-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N CHURCH ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011007",
"telephone_number": "336-832-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETKE",
"first_name": "KYLE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2014-00306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.