Individual provider Active NPI

Louis Charles Kandl, M.D.

  • Internal Medicine Physician
  • Albemarle, NC
National Provider Identifier
1700929817
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24258 Issued in NC
Practice address
331 N 1St St
Albemarle, NC 28001-3904
Phone
(704) 982-2189
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24258 NC Primary

Addresses

Primary practice location

331 N 1St St
Albemarle, NC 28001-3904

Mailing address

331 N 1St St
Albemarle, NC 28001-3904
Phone (704) 982-2189

Other identifiers 6

IdentifierTypeStateIssuer
202360EOtherNCMEDICARE PIN, WILKES LOCATION
8947783MedicaidNC
NC4277AOtherNCMEDICARE PTAN, INDIVIDUAL FOR WILKES NETWORK
47783OtherNCBCBS OF NC
202360DOtherNCMEDICARE PIN, STANLY LOCATION
2335816OtherNCMEDICARE PTAN, CAROLINAS HOSPITALIST GROUP-WILKES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000361 TX Practitioner - Internal Medicine 3779674577 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24258NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Dec 1, 2008 Accepting new patients
Lechee Health Facility Internal Medicine CurrentSince Dec 1, 2008 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Current Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1700929817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N 1ST ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013904",
            "telephone_number": "704-982-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N 1ST ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013904",
            "telephone_number": "704-982-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDL",
        "first_name": "LOUIS",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "24258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN, WILKES LOCATION",
            "identifier": "202360E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947783",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL FOR WILKES NETWORK",
            "identifier": "NC4277A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "47783",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN, STANLY LOCATION",
            "identifier": "202360D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, CAROLINAS HOSPITALIST GROUP-WILKES",
            "identifier": "2335816",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.