Active NPI
Michal Kaczor, MD
- Family Medicine Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 87826
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-1707 - Phone
- (336) 716-9252
- Fax
- (336) 716-0030
- NPI assigned
- Jun 23, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 87826 | SC | Primary |
| Hospitalist Physician | 208M00000X | 271069 | NY | |
| Internal Medicine Physician | 207R00000X | 21154 | NH | |
| Hospitalist Physician | 208M00000X | 2021-00754 | NC | |
| Family Medicine Physician | 207Q00000X | 25MA09024500 | NJ |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-1707
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-9252
Other practice location 1
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 525-8600
Other practice location 2
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-8600
Other practice location 3
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
Other names 1
- Michal Robert Kaczor
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michal.kaczor@camc.cernerdirect.com | ||
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME, SC, NH, WV, AL, TN, NC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110
427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 842-1900
Hospital & facility affiliations
- St Marys Healthcare
- Roper St Francis Hospital-Berkeley Inc
- Roper Hospital
- Bon Secours-St Francis Xavier Hospital
- Parkland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09024500 | NJ | MD | Family Medicine Physician |
| 271069 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Ohio Hospital Medicine Physicians LLC | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| 24 On Physicians of SC, LLC | Hospitalist | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Family Medicine | Current | Accepting new patients |
| Samaritan Hospital of Troy, New York | Family Medicine | Current | Accepting new patients |
| Inpatient Consultants of Alabama, Inc | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of NH, LLC | Hospitalist | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Upstate Ny Doctor of Medicine PLLC | Hospitalist | Current | Accepting new patients |
| Apogee Medical Group Maine PC | Internal Medicine | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Family Medicine | Current | Accepting new patients |
| SC Hospital Medicine Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Family Medicine | Current | Accepting new patients |
| Southeastern Hospitalist Services PC | Family Medicine | Current | Accepting new patients |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| HCA Health Services of New Hampshire Inc | Past | Accepting new patients | |
| Valley Physician Services, Inc. | Past | Accepting new patients |
Locations (25 of 29)
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
4 Palisades Dr
Ste 200
Albany, NY 12205
Phone (518) 591-1121
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- michal.kaczor@camc.cernerdirect.com
- mkaczor3027327@carolinashealthcaresystem.direct-ci.com
- mkaczor789035@direct.trinity-health.org
Organizations & group practices 20
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.
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Family Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Family Medicine
-
- Hospitalist Physician
- Amsterdam, NY
- NPI 1356171490
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Internal Medicine Physician
- Bangor, ME
- NPI 1659152742
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Family Medicine, TN
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1023794377
-
- Emergency Medicine Physician
- Lancaster, SC
- NPI 1326677915
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1811977796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1710148614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-9252",
"fax_number": "336-716-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571707",
"telephone_number": "336-716-9252",
"fax_number": "336-716-0030"
}
],
"practiceLocations": [
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-525-8600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 S Manning Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081707",
"country_code": "US",
"telephone_number": "518-525-8600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KACZOR",
"first_name": "MICHAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "87826",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "271069",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "21154",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2021-00754",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA09024500",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michal.kaczor@camc.cernerdirect.com",
"affiliation": "N",
"address_1": "3200 MacCorkle Ave SE",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253041227",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPH Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "315 S Manning Blvd",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122081707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHAL",
"last_name": "KACZOR",
"middle_name": "ROBERT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.