Russell David Kitch, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

15299 Issued in SC

Practice address

2850 Tricom Street
North Charleston, SC 29406-9192

Phone

(843) 863-1188

Fax

(843) 863-8286

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Otolaryngology

Education

University of Virginia School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston Surgical Consultants LLCGroup PAC ID 4981106531, 5 clinicians

Low Country ENT PAGroup PAC ID 1557392651, 2 clinicians

Summerville Sleep Consultants LLCGroup PAC ID 5799759791, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russelld.kitch.p1@direct.scsm.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Charleston Surgical Consultants, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • North Charleston, SC
  • NPI 1629966460
  Medicare reassignment Care Compare group NPD
• Summerville Sleep Consultants LLC

  • Specialist
  • Summerville, SC
  • NPI 1265507404
  Medicare reassignment Care Compare group NPD
• Low Country ENT PA

  • Specialist
  • North Charleston, SC
  • NPI 1740478288
  Medicare reassignment Care Compare group
• South Carolina Sleep Medicine LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Summerville, SC
  • NPI 1174523286

  Otolaryngology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1992705099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TRICOM STREET",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069192",
            "telephone_number": "843-863-1188",
            "fax_number": "843-863-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TRICOM STREET",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069192",
            "telephone_number": "843-863-1188",
            "fax_number": "843-863-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCH",
        "first_name": "RUSSELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "15299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2380",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152943",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne L Kinnear-Adams, DDS
• Karissa Rose Kinnunen, DO
• Allison Renee Kint
• Tara M Kirby, RN
• Claire Hamer Kirkpatrick, PA-C
• Carol K Klauber, MD
• Suzan M Kleckley, ANP
• Natalie Michelle Klein, RN
• Derrin G Kluth, PT
• Lauren Elizabeth Knight, D.D.S.

• Otolaryngology Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.

Verify at the official NPI Registry.