Active NPI
Robert Kipnis, MD
- Rheumatology Physician
- Charlotte, NC
National Provider Identifier
1750337572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 39908
- Practice address
- 1918 Randolph Rd Ste 600
Charlotte, NC 28207-1198 - Phone
- (704) 342-0252
- Fax
- (980) 533-7801
- NPI assigned
- May 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 39908 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 600
Charlotte, NC 28207-1198
Mailing address
1918 Randolph Rd
Ste 600
Charlotte, NC 28207-1100
Phone (704) 342-0252
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23351 | Other | NC | PARTNERS |
| 894949B | Medicaid | NC | |
| A7356 | Other | NC | MEDCOST |
| 3105802005 | Other | NC | CIGNA |
| 477888 | Other | NC | MAMSI |
| 4215615 | Other | NC | AETNA- NON-HMO |
| 4949B | Other | NC | BCBS |
| 104646 | Other | NC | COVENTRY |
| 2617931 | Other | NC | AETNA - HMO |
| 660003244 | Other | NC | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.kipnis@direct.aocc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1750337572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD",
"address_2": "STE 600",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071100",
"telephone_number": "704-342-0252",
"fax_number": "704-342-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 600",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071198",
"telephone_number": "704-342-0252",
"fax_number": "980-533-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPNIS",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "39908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "23351",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "894949B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A7356",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3105802005",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "477888",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA- NON-HMO",
"identifier": "4215615",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4949B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "104646",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "2617931",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "660003244",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.kipnis@direct.aocc.nextgenshare.com",
"affiliation": "N",
"address_1": "1918 Randolph Rd Ste 600",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071198",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.