Active NPI
Kyle C Levitt, DO
- Family Medicine Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 228147
- Practice address
- 1210 New Garden Rd
Greensboro, NC 27410-2721 - Phone
- (336) 294-6190
- NPI assigned
- Jun 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 228147 | NC | Primary |
Addresses
Primary practice location
1210 New Garden Rd
Greensboro, NC 27410-2721
Mailing address
270 Copperfield Blvd NE Ste 202
Concord, NC 28025-2441
Phone (704) 403-0463
Other practice location 1
4949 Professional Park Dr Ste 100
Kannapolis, NC 28081-8637
Phone (704) 938-6521
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyle.levitt@eaglep.eclinicaldirectplus.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Campbell Univ School of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6630 Shallowford Rd
Lewisville, NC 27023-9504
Phone (336) 716-3155
Hospital & facility affiliations
- North Carolina Baptist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228147 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Eagle Physicians and Associates PA | Family Medicine | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Past | Accepting new patients | |
| Eagle Physicians and Associates PA | Past | Accepting new patients |
Locations
6630 Shallowford Rd
Lewisville, NC 27023
Phone (336) 716-2055
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- klevitt2754173@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1457436982
-
- Physical Therapist
- Greensboro, NC
- NPI 1790491751
-
- Ambulatory Surgical Clinic/Center
- Greensboro, NC
- NPI 1396852570
-
- Sleep Medicine (Internal Medicine) Physician
- Greensboro, NC
- NPI 1609070648
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1912427923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 COPPERFIELD BLVD NE STE 202",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252441",
"telephone_number": "704-403-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 NEW GARDEN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102721",
"telephone_number": "336-294-6190"
}
],
"practiceLocations": [
{
"address_1": "4949 Professional Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280818637",
"country_code": "US",
"telephone_number": "704-938-6521",
"fax_number": "704-938-0463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVITT",
"first_name": "KYLE",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "228147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kyle.levitt@eaglep.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1210 New Garden Rd",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274102721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.