Active NPI
Kathleen Matthews, MD
- Pediatrics Physician
- Durham, NC
National Provider Identifier
1831620921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2020-03644
- Practice address
- 1301 Fayetteville St
Durham, NC 27707-2325 - Phone
- (919) 956-4000
- Fax
- (919) 956-3824
- NPI assigned
- Mar 21, 2017
- Last updated
- Sep 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2020-03644 | NC | Primary |
Addresses
Primary practice location
1301 Fayetteville St
Durham, NC 27707-2325
Mailing address
13001 E 17TH PL
University of Colorado School of Medicine Gme
Aurora, CO 80045-2570
Phone (720) 777-3846
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-03644 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Community Health Center Incorporated | Current | Accepting new patients | |
| Lincoln Community Health Center Incorporated | Current | Accepting new patients |
Locations
1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000
Interoperability endpoints
- kmatthews471168@direct.medicine.duke.edu
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Durham, NC
- NPI 1114978582
-
dba Lakewood Clinic
- Federally Qualified Health Center (FQHC)
- Durham, NC
- NPI 1114614518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1831620921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 E 17TH PL",
"address_2": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570",
"telephone_number": "720-777-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 FAYETTEVILLE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072325",
"telephone_number": "919-956-4000",
"fax_number": "919-956-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2020-03644",
"primary": true
}
],
"identifiers": [],
"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 Sep 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.