Individual provider Active NPI

Kerry Edmund Hunt, M.D.

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1972598522
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200700416 Issued in NC
Practice address
3320 Executive Dr Ste 111
Raleigh, NC 27609-7445
Phone
(919) 876-2427
Fax
(919) 944-0085
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200700416 NC Primary

Addresses

Primary practice location

3320 Executive Dr Ste 111
Raleigh, NC 27609-7445

Mailing address

3320 Executive Dr 111
Raleigh, NC 27609-7445
Phone (919) 876-2427

Other identifiers 2

IdentifierTypeStateIssuer
5907407MedicaidNC
1972598522MedicaidVA

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
I20070904000121 NC Practitioner - Ophthalmology 6507959855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Eye Center, P.a.Group PAC ID 7113944125, 14 clinicians

Practice addresses (Care Compare)

3320 Executive Dr
Suite 111
Raleigh, NC 27609-7445
Phone (919) 876-2427

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
93.82
Improvement activities
40
Cost
74.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200700416NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Eye Center, PA Ophthalmology CurrentSince Mar 1, 2014 Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 280
Raleigh, NC 27607
Phone (919) 256-2500

4035 Lake Boone Trl
Ste 103
Raleigh, NC 27607
Phone (919) 944-0080

3320 Executive Dr
Ste 111
Raleigh, NC 27609
Phone (919) 876-2427

12740 Spruce Tree Way
Ste 102
Raleigh, NC 27614
Phone (919) 876-2427

730 S Scales St
Ste F
Reidsville, NC 27320
Phone (336) 342-3354

12205 Capital Blvd
Wake Forest, NC 27587
Phone (919) 554-2020

501 Lombardy St
South Hill, VA 23970
Phone (434) 447-3220

Interoperability endpoints

  • Direct secure messaging: khunt@raleigheyecenter.imwdirect.com

Organizations & group practices 1

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.

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1972598522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-876-2427",
            "fax_number": "919-790-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-876-2427",
            "fax_number": "919-944-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KERRY",
        "middle_name": "EDMUND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200700416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907407",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972598522",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.