Active NPI
Kevin Nethers, M.D.
- Dermatology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 62256
- Practice address
- 150 Wellesley Trade LN Ste 204
Cary, NC 27519-5593 - Phone
- (919) 230-4016
- Fax
- (919) 230-4017
- NPI assigned
- Mar 29, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 62256 | AZ | Primary |
Addresses
Primary practice location
150 Wellesley Trade LN Ste 204
Cary, NC 27519-5593
Mailing address
150 Wellesley Trade LN Ste 204
Cary, NC 27519-5593
Phone (919) 230-4016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NC
- 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
- Dermatology
- Education
- University of South Florida College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Wellesley Trade LN
Suite 204
Cary, NC 27519-5593
Phone (919) 230-4016
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 83.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of skin lesions | 253 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62256 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Skin Center, PA | Current | Accepting new patients | |
| Regency Skin Institute PLLC | Current | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Past | Accepting new patients |
| Regency Reconstruction PLLC | Past | Accepting new patients |
Locations
10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077
14725 W Mountain View Blvd
Surprise, AZ 85374
Phone (623) 243-9077
14869 W Bell Rd
Ste 103
Surprise, AZ 85374
200 Wellesley Trade Ln
Cary, NC 27519
Phone (919) 363-7546
150 Wellesley Trade Ln
Ste 204
Cary, NC 27519
Phone (919) 230-4016
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.
-
- MOHS-Micrographic Surgery Physician
- Cary, NC
- NPI 1902869530
-
- MOHS-Micrographic Surgery Physician
- Surprise, AZ
- NPI 1932630563
-
- Family Medicine Physician
- Whittier, CA
- NPI 1588829006
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1972086924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1932631009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WELLESLEY TRADE LN STE 204",
"city": "CARY",
"state": "NC",
"postal_code": "275195593",
"telephone_number": "919-230-4016",
"fax_number": "919-230-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WELLESLEY TRADE LN STE 204",
"city": "CARY",
"state": "NC",
"postal_code": "275195593",
"telephone_number": "919-230-4016",
"fax_number": "919-230-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETHERS",
"first_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "62256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.