Active NPI
Justin R Kauk, M.D.
- Orthopaedic Trauma Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 2016-00165
- Practice address
- 3009 New Bern Ave
Raleigh, NC 27610-1214 - Phone
- (919) 232-5020
- NPI assigned
- May 1, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 133967 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 2016-00165 | NC | |
| Orthopaedic Trauma Physician | 207XX0801X | 13999 | NV | |
| Orthopaedic Trauma Physician | 207XX0801X | Q2000 | TX | |
| Orthopaedic Trauma Physician | 207XX0801X | 036130778 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Trauma Physician | 207XX0801X | 2016-00165 | NC | Primary |
Addresses
Primary practice location
3009 New Bern Ave
Raleigh, NC 27610-1214
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-0351
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036130778 | Medicaid | IL | |
| 1710108618 | Medicaid | NC | |
| PENDING | Medicaid | TX | |
| 200557440 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Orthopedic Surgery
- Education
- University of Missouri, Columbia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
3009 New Bern Ave
Raleigh, NC 27610-1214
Phone (919) 232-5020
Hospital & facility affiliations
- Wakemed Home Health
- Wakemed, Cary Hospital
- Wakemed, Raleigh Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133967 | NC | MD | Orthopaedic Surgery Physician |
| Q2000 | TX | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616
101 Holly Creek Rd
Morrisville, NC 27560
Phone (919) 235-6480
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3009 New Bern Ave
Raleigh, NC 27610
Phone (919) 232-5021
1030 Siena Dr
Wake Forest, NC 27587
Phone (919) 235-6511
Interoperability endpoints
- jkauk389958@directhisp.wakemed.org
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
Orthopaedic Surgery
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1417512690
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Home Health Agency
- Raleigh, NC
- NPI 1467435842
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1710108618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "919-350-0351",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101214",
"telephone_number": "919-232-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUK",
"first_name": "JUSTIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "133967",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2016-00165",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NV",
"license": "13999",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "TX",
"license": "Q2000",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "IL",
"license": "036130778",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NC",
"license": "2016-00165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036130778",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710108618",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200557440",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.