Active NPI
Kevin M. Rathke, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 01621
- Practice address
- 4709 Creekstone Dr
Durham, NC 27703-9822 - Phone
- (919) 385-8880
- NPI assigned
- Jul 7, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME176911 | FL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 01621 | NC | Primary |
| Neurology Physician | 2084N0400X | 2002-01621 | NC | |
| Neurology Physician | 2084N0400X | W2772 | TX |
Addresses
Primary practice location
4709 Creekstone Dr
Durham, NC 27703-9822
Mailing address
1540 Sunday Dr
Raleigh, NC 27607-6010
Phone (919) 782-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891329P | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL, ND, NY, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 Tamworth Hill LN
Cary, NC 27519-8859
Phone (239) 208-2212
350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Naples Community Hospital
- St Lucie Medical Center
- Adventhealth New Smyrna Beach
- Adventhealth Fish Memorial
- HCA Florida Lake City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME176911 | FL | MD | Neurology Physician |
| 2002-01621 | NC | MD | Neurology Physician |
| W2772 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital, Inc. | Current | Accepting new patients | |
| St John'S Medical Services PC | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Concord Hospital-Laconia | Pediatrics | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| St Joseph Hospital of Nashua NH | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients |
Locations
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
3000 Erwin Rd
Durham, NC 27705
Phone (919) 668-3988
4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
1540 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- krathke193456@direct.medicine.duke.edu
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 16
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1750313110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SUNDAY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076010",
"telephone_number": "919-782-3456",
"fax_number": "919-787-7552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4709 CREEKSTONE DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039822",
"telephone_number": "919-385-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHKE",
"first_name": "KEVIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME176911",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NC",
"license": "01621",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2002-01621",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "W2772",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891329P",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.