NPIMap

Individual provider Active NPI

Alan Kirollos, MD

  • Cardiovascular Disease Physician
  • Kinston, NC
National Provider Identifier
1881615706
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36551 Issued in NC
Practice address
2503 North Queen Street
Kinston, NC 28501
Phone
(252) 523-6000
Fax
(252) 527-8500
NPI assigned
Jul 23, 2006
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36551 NC Primary

Addresses

Primary practice location

2503 North Queen Street
Kinston, NC 28501

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other identifiers 1

IdentifierTypeStateIssuer
8949522MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akirollos228566@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001568 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042295156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2503 N Queen St
Kinston, NC 28501-1632
Phone (252) 523-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lenoir Memorial Hospital, Incorporated CurrentSince Mar 27, 1993 Accepting new patients
Unc Physicians Network LLC Cardiovascular Disease CurrentSince Feb 1, 2019 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients

Locations

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

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

109 Airport Rd
Kinston, NC 28501
Phone (252) 522-0385

2503 N Queen St
Kinston, NC 28501
Phone (252) 522-3717

701 Doctors Dr
Ste G
Kinston, NC 28501
Phone (252) 522-2020

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Interoperability endpoints

  • Direct secure messaging: akirollos228566@direct.unc.nchie.net

Organizations & group practices 5

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.

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1881615706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 NORTH QUEEN STREET",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-523-6000",
            "fax_number": "252-527-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIROLLOS",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "36551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949522",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akirollos228566@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2503 North Queen Street",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.