NPIMap

Individual provider Active NPI

Katherine Marie Mielke, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1992333504
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2024-01140 Issued in NC
Practice address
13640 Steelecroft Pkwy Ste 240
Charlotte, NC 28278-7799
Phone
(704) 512-2860
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 92080 SC
Obstetrics & Gynecology Physician 207V00000X 2024-01140 NC Primary

Addresses

Primary practice location

13640 Steelecroft Pkwy Ste 240
Charlotte, NC 28278-7799

Mailing address

421 Kimbrell Crossing Dr
Fort Mill, SC 29715-9000
Phone (573) 673-5344

Other names 1

  • Katherine Marie Buddemeyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240917001725 SC Practitioner - Obstetrics/Gynecology 0547681090 Reassigns benefits to 1 organization
I20241004003044 NC Practitioner - Obstetrics/Gynecology 0547681090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

15110 John J Delaney Dr
Suite 100
Charlotte, NC 28277-3545
Phone (704) 302-9462

1656 Riverchase Blvd
Suite 3600
Rock Hill, SC 29732-0273
Phone (803) 324-7606

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098

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
92080SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Sep 9, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 9, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 10, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 10, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 9, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Locations

1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

15110 John J Delaney Dr
Ste 100
Charlotte, NC 28277
Phone (704) 512-5100

13640 Steelecroft Pkwy
Ste 240
Charlotte, NC 28278
Phone (704) 512-2860

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1935 Holbrook Rd
Ste 1100
Fort Mill, SC 29715
Phone (803) 650-4282

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

1656 Riverchase Blvd
Ste 3600
Rock Hill, SC 29732
Phone (803) 324-7606

Interoperability endpoints

  • Direct secure messaging: kbuddemeyer2755986@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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 8

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1992333504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 KIMBRELL CROSSING DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159000",
            "telephone_number": "573-673-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 STEELECROFT PKWY STE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787799",
            "telephone_number": "704-512-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "92080",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2024-01140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BUDDEMEYER",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.