Individual provider Active NPI

Kyle J Fletke, MD

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1700178100
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014-00306 Issued in NC
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

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626001914 MD Practitioner - Family Practice 1951549369 Reassigns benefits to 2 organizations

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
University of Maryland Family Medicine Associates, P.a.Group PAC ID 4183662851, 33 clinicians

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 Home health agency, Owings Mills, MD, CCN 217008
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-00306NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Jul 9, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 21, 2014 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Jul 9, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Jul 21, 2014 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Jul 9, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.