Active NPI
Keith A Fehring, MD
- Orthopaedic Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2015-00634
- Practice address
- 2001 Vail Ave
Suite 200
Charlotte, NC 28207-1248 - Phone
- (704) 323-2000
- NPI assigned
- Jun 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116021901 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 2015-00634 | NC | Primary |
Addresses
Primary practice location
2001 Vail Ave
Suite 200
Charlotte, NC 28207-1248
Mailing address
4601 Park Rd
Suite 250
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861629149 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618000365 | NC | Practitioner - Orthopedic Surgery | 4082852967 | Reassigns benefits to 1 organization |
| I20170619000851 | SC | Practitioner - Orthopedic Surgery | 4082852967 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- George Washington University School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Proactive Therapy of North Carolina Inc
Practice addresses (Care Compare)
101 Delta Park Dr
Shelby, NC 28150-3575
Phone (704) 484-0606
124 Welton Way
Mooresville, NC 28117-9163
Phone (704) 323-2276
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049
2001 Randolph Rd
Charlotte, NC 28207-1215
Phone (704) 332-2225
2001 Vail Ave
Suite 200
Charlotte, NC 28207-1219
Phone (704) 323-2000
2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 313-3294
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
5935 Carnegie Blvd
Suite 104
Charlotte, NC 28209-4672
Phone (704) 323-2500
710 Park Ctr Dr
Matthews, NC 28105-5081
Phone (704) 323-3200
870 Summit Crossing PL
Gastonia, NC 28054-2192
Phone (704) 867-2333
Hospital & facility affiliations
- Centerwell Home Health
- Carolinas Medical Center/Behav Health
- Novant Health Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 65 |
| Knee replacement | 134 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015-00634 | NC | MD | Orthopaedic Surgery Physician |
| 0116021901 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Triad Radiology Associates PLLC | Past | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
2001 Vail Ave
Ste 200
Charlotte, NC 28207
Phone (704) 323-2564
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1497704217
NC, Orthopaedic Surgery, SC
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Diagnostic Radiology Physician
- Winston Salem, NC
- NPI 1659485001
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Home Health Agency
- Charlotte, NC
- NPI 1497782924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1861629149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "SUITE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAIL AVE",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071248",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHRING",
"first_name": "KEITH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116021901",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2015-00634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861629149",
"state": "NC"
}
],
"endpoints": [],
"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 Aug 26, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.