Active NPI
Kerry N. Whitt, M.D.
- Gastroenterology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 228947
- Practice address
- 2601 Lake Dr
Suite 201
Raleigh, NC 27607-6688 - Phone
- (919) 783-4888
- Fax
- (919) 783-4887
- NPI assigned
- May 13, 2008
- Last updated
- Jun 11, 2012
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 228947 | NC | Primary |
Addresses
Primary practice location
2601 Lake Dr
Suite 201
Raleigh, NC 27607-6688
Mailing address
PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 783-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5910178 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Virginia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-9405
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 122 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228947 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Raleigh Medical Group, PA | Gastroenterology | Current | Accepting new patients |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients | |
| University of Alabama at Birmingham | Past | Accepting new patients | |
| University of Alabama at Birmingham | Past | Accepting new patients |
Locations
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888
3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
110 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-9405
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
3 Riverside Cir
Roanoke, VA 24016
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- kerrywhitt@rcmg.allscriptsdirect.net
- kwhitt164711@direct.carilionclinic.org
Organizations & group practices 8
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.
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Air Ambulance
- Birmingham, AL
- NPI 1073679692
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1932376506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18563",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276198563",
"telephone_number": "919-783-4888",
"fax_number": "919-783-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 LAKE DR",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076688",
"telephone_number": "919-783-4888",
"fax_number": "919-783-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITT",
"first_name": "KERRY",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "228947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910178",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.