Individual provider Active NPI

Kevin Raymond Stein, M.D.

  • Dermatology Physician
  • Winston Salem, NC
National Provider Identifier
1730221037
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2009-00182 Issued in NC
Practice address
1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone
(336) 724-2434
Fax
(336) 724-6123
NPI assigned
Feb 13, 2007
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2009-00182 NC Primary

Addresses

Primary practice location

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103

Mailing address

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090610000612 NC Practitioner - Dermatology 1759431802 Reassigns benefits to 1 organization
I20160718001881 VA Practitioner - Dermatology 1759431802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

974 E Stuart Dr
Suite C
Galax, VA 24333-2412
Phone (276) 238-9902

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision92
Removal of tissue1-10
Removal of skin lesions1415
Removal of nail tissue1-10
Removal or shaving of skin growth50
Skin biopsy552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00182NCMDDermatology Physician
00182NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA Dermatology CurrentSince Jul 1, 2009 Accepting new patients
Skin Surgery Center PA CurrentSince Jul 1, 2009 Accepting new patients

Locations

3107 Brassfield Rd
Ste 300
Greensboro, NC 27410
Phone (336) 545-8133

111 Foothills Dr
Ste A
Morganton, NC 28655
Phone (828) 580-3020

314 S South St
Ste 400
Mount Airy, NC 27030
Phone (336) 789-4300

532 W Park Cir
North Wilkesboro, NC 28659
Phone (336) 667-6600

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

1450 Professional Park Dr
Ste 100
Winston Salem, NC 27103

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

974 E Stuart Dr
Ste C
Galax, VA 24333
Phone (276) 238-9902

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1730221037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PROFESSIONAL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031300",
            "telephone_number": "336-724-2434",
            "fax_number": "336-724-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PROFESSIONAL PARK DR",
            "address_2": "STE 150",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-724-2434",
            "fax_number": "336-724-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "KEVIN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2009-00182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.