Active NPI
Jean-Claude Hyppolite, MD
- Nephrology Physician
- Statesville, NC
National Provider Identifier
1730150459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 9501284
- Practice address
- 2603 Davie Ave
Statesville, NC 28625-8256 - Phone
- (704) 873-6515
- Fax
- (704) 873-6508
- NPI assigned
- Jan 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 9501284 | NC | Primary |
| Nephrology Physician | 207RN0300X | 95-01284 | NC |
Addresses
Primary practice location
2603 Davie Ave
Statesville, NC 28625-8256
Mailing address
2603 Davie Ave
Statesville, NC 28625-8256
Phone (704) 873-6515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8945170 | Medicaid | NC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100216000517 | NC | Practitioner - Nephrology | 3577607498 |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2603 Davie Ave
Statesville, NC 28625-8256
Hospital & facility affiliations
- Lake Norman Dialysis Center
- Statesville Dialysis Center
- Iredell Memorial Hospital Inc
- Wilkes Regional Medical Center
- North Carolina Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-01284 | NC | MD | Nephrology Physician |
| 9501284 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care, P.C. | Nephrology | Current | Accepting new patients |
Locations
204 Jefferson St
Ste 102
North Wilkesboro, NC 28659
Phone (336) 667-7995
2603 Davie Ave
Statesville, NC 28625
Phone (704) 873-6515
Organizations & group practices 1
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.
-
- Nephrology Physician
- Statesville, NC
- NPI 1295780781
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Statesville, NC
- NPI 1548247588
Dialysis facility
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
-
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1730150459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 DAVIE AVE",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286258256",
"telephone_number": "704-873-6515",
"fax_number": "704-873-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 DAVIE AVE",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286258256",
"telephone_number": "704-873-6515",
"fax_number": "704-873-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYPPOLITE",
"first_name": "JEAN-CLAUDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "9501284",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "95-01284",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8945170",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.