Individual provider Active NPI

Kevin Anthony Carneiro, DO

  • Physical Medicine & Rehabilitation Physician
  • Chapel Hill, NC
National Provider Identifier
1770778532
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125050146 Issued in IL
Practice address
101 Manning Dr
N1181 Memorial Hospital, Cb7200
Chapel Hill, NC 27514-4220
Phone
(919) 966-8812
Fax
(919) 966-0083
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125050146 IL Primary

Addresses

Primary practice location

101 Manning Dr
N1181 Memorial Hospital, Cb7200
Chapel Hill, NC 27514-4220

Mailing address

11104 Spring Meadow Dr
Chapel Hill, NC 27517-9091

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
I20101103001162 NC Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Pain Management 2466646450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125050146ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Dec 20, 2021 Accepting new patients
University of North Carolina at Chapel Hill Physical Medicine & Rehabilitation CurrentSince Sep 26, 2010 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

1807 Fordham Blvd
Chapel Hill, NC 27514
Phone (919) 595-9641

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

1350 Raleigh Rd
Chapel Hill, NC 27517
Phone (984) 974-4110

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Manning Dr
#N1181
Chapel Hill, NC 27514
Phone (919) 966-8812

194 Finley Golf Course Rd
Ste 104
Chapel Hill, NC 27517
Phone (984) 215-5151

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

Interoperability endpoints

  • Direct secure messaging: kcarneiro12440@direct.unc.nchie.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1770778532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 SPRING MEADOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "N1181 MEMORIAL HOSPITAL, CB7200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-8812",
            "fax_number": "919-966-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEIRO",
        "first_name": "KEVIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125050146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.