Individual provider Active NPI

Kenneth John Rich, MD

  • Neurological Surgery Physician
  • Raleigh, NC
National Provider Identifier
1760489967
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
28324 Issued in NC
Practice address
1100 Dresser Court
Suite 100
Raleigh, NC 27609
Phone
(919) 850-9911
Fax
(919) 790-5524
NPI assigned
Jul 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 28324 NC Primary

Addresses

Primary practice location

1100 Dresser Court
Suite 100
Raleigh, NC 27609

Mailing address

1100 Dresser Court
Suite 100
Raleigh, NC 27609
Phone (919) 850-9911

Other identifiers 1

IdentifierTypeStateIssuer
71528OtherBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000658 NC Practitioner - Neurosurgery 8426062563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Kentucky College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Practice addresses (Care Compare)

5241 Six Forks Rd
Suite 100
Raleigh, NC 27609-4431
Phone (919) 785-3400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurosurgical Clinic, Inc. Neurological Surgery CurrentSince Sep 16, 2013 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. Neurological Surgery CurrentSince Sep 16, 2013 Accepting new patients
Capital Neurosurgery Inc Neurological Surgery PastSince Jan 1, 2006 Accepting new patients
Wake Spine and Specialty Surgery Center LLC Past Accepting new patients

Locations

12610 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 405-1747

2605 Blue Ridge Rd
Ste 240
Raleigh, NC 27607
Phone (919) 277-9845

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046

Interoperability endpoints

  • Direct secure messaging: krich52986@directhisp.wakemed.org

Organizations & group practices 4

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760489967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 DRESSER COURT",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-850-9911",
            "fax_number": "919-790-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DRESSER COURT",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-850-9911",
            "fax_number": "919-790-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "28324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.