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KELLY LYNN VANDERHAVE MD
NPI 1053375170
Orthopaedic Surgery - Sports Medicine in Charlotte, NC

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
1025 MOREHEAD MEDICAL DRIVE, SUITE 300, CHARLOTTE, NC 28204(704) 355-5982(704) 355-5984 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2019, Dec 12, 2017, Jan 4, 2017 (3 updates tracked since 2017).

About Kelly Lynn Vanderhave Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNN VANDERHAVE MD (NPI 1053375170) is an individual sports medicine provider in Charlotte, North Carolina, licensed in North Carolina (2012-02054) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1997).

NPPES Registry Identity

NPI1053375170
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameKELLY LYNN VANDERHAVECredential: MD
Location Address1025 MOREHEAD MEDICAL DRIVE, SUITE 300Charlotte, NC 28204-2966
Mailing AddressPo Box 601372Charlotte, NC 28260-1372 · (704) 355-5982 · Fax (704) 355-5984
Phone(704) 355-5982
Fax(704) 355-5984
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1997
Enumeration DateApril 14, 2006
Last NPPES UpdateOctober 20, 20253 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1053375170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NC · 2012-02054
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2012-02054 (NC), MD190912 (OR), 4301069717 (MI)
1025 MOREHEAD MEDICAL DRIVE, Charlotte, NC 28204
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Other Identifiers 3

Medicaid5922062NC
Medicaid1053375170NC
MedicaidNC1738SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, First Choice Next, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lynn Vanderhave Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274538723
PECOS Enrollment IDI20121214000443
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
26 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MECKLENBURG MEDICAL GROUP
Internal Medicine
1025 MOREHEAD MEDICAL DRIVE, SUITE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 302-8000
MECKLENBURG MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
1025 MOREHEAD MEDICAL DRIVE, SUITE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 302-8000
EVA BARBARA DEERENBERG MD
Surgery
1025 MOREHEAD MEDICAL DRIVE, SUITE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-9253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Vanderhave's NPI number?

The NPI number for Kelly Vanderhave is 1053375170. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Kelly Vanderhave located?

Kelly Vanderhave practices at 1025 Morehead Medical Drive Suite 300, Charlotte, NC 28204. The listed phone number is (704) 355-5982.

What is Kelly Vanderhave's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kelly Vanderhave enrolled in Medicare?

Yes. Kelly Vanderhave is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Vanderhave accept?

Health plans from Blue Cross and Blue Shield of NC, First Choice Next, Harvard Pilgrim Health Care and WellSense Health Plan list Kelly Vanderhave as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Vanderhave affiliated with any hospitals?

According to CMS data, Kelly Vanderhave is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Vanderhave was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.