Individual provider Active NPI

Peter Michael Kindschuh, MD

  • Obstetrics & Gynecology Physician
  • Whiteville, NC
National Provider Identifier
1922106814
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27930 Issued in NC
Practice address
221 Jefferson St
Whiteville, NC 28472-3415
Phone
(910) 642-3294
NPI assigned
Sep 21, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 27930 NC Primary

Addresses

Primary practice location

221 Jefferson St
Whiteville, NC 28472-3415

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 641-8680

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address crhs@crhn.cernerdirect.com Columbus Regional Healthcare System, Inc.
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20101209000367 NC Practitioner - Obstetrics/Gynecology 5799726006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health NetworkGroup PAC ID 6608924931, 48 clinicians

Practice addresses (Care Compare)

221 Jefferson St
Whiteville, NC 28472-3415
Phone (910) 642-3294

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 641-8600

619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27930NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network Obstetrics & Gynecology CurrentSince Jan 3, 2023 Accepting new patients
Columbus Regional Health Network CurrentSince Jan 3, 2023 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680

221 Jefferson St
Whiteville, NC 28472
Phone (910) 641-8680

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

Interoperability endpoints

  • Direct secure messaging: crhs@crhn.cernerdirect.com
  • Direct secure messaging: pkindschuh@crhn.cernerdirect.com

Organizations & group practices 3

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 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1922106814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723415",
            "telephone_number": "910-642-3294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-641-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDSCHUH",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "27930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crhs@crhn.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "221 Jefferson St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.