Individual provider Active NPI

Kevin M. Rathke, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Durham, NC
National Provider Identifier
1750313110
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
01621 Issued in NC
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

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
891329PMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, ND, NY, NH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040420001579 NC Practitioner - Pediatric MedicinePractitioner - Neurology 2163418898 Reassigns benefits to 5 organizations
I20251013001970 FL Practitioner - Neurology 2163418898 Reassigns benefits to 1 organization
I20251121003663 ND Practitioner - Neurology 2163418898 Reassigns benefits to 1 organization
I20260113001277 NY Practitioner - Neurology 2163418898 Reassigns benefits to 1 organization
I20260122001958 NH Practitioner - Neurology 2163418898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

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 Hospital, Naples, FL, CCN 100018
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME176911FLMDNeurology Physician
2002-01621NCMDNeurology Physician
W2772TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Nov 29, 2025 Accepting new patients
St John'S Medical Services PC CurrentSince Dec 8, 2025 Accepting new patients
Nchmd Inc CurrentSince Oct 1, 2025 Accepting new patients
Nchmd, Inc CurrentSince Oct 1, 2025 Accepting new patients
Altru Health System CurrentSince Oct 23, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jan 1, 2026 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Apr 22, 2026 Accepting new patients
Concord Hospital, Inc. CurrentSince Nov 29, 2025 Accepting new patients
Concord Hospital-Laconia Pediatrics CurrentSince Nov 29, 2025 Accepting new patients
Altru Health System CurrentSince Oct 23, 2025 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Oct 19, 2025 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

  • Direct secure messaging: krathke193456@direct.medicine.duke.edu
  • FHIR API: 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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.