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

Q: 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.

Q: What is Kelly Vanderhave's specialty?

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

Q: 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 12 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.

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: November 08, 2026.

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

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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 maintains a secondary practice location in Portland.

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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Secondary Practice Location 1

Location 1450 N Graham StPortland, OR 97227-1682 · Phone (503) 413-4488

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Vanderhave reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Physician Associates II

84 mi

Psychiatry

701 CASHUA FERRY RD
Darlington, SC 29532

Reassigned Medicare billing, South Carolina enrollment
878 clinicians in this Medicare group

NPI 1629189766 (843) 777-4217

Henderson County Hospital Corporation

92 mi

Orthopaedic Surgery

1027 FLEMING ST
Hendersonville, NC 28791

Reassigned Medicare billing, North Carolina enrollment
401 clinicians in this Medicare group

NPI 1982033031 (828) 692-5781

Vidant Medical Group LLC

184 mi

Ambulatory Surgical

701 DOCTORS DR STE N
Kinston, NC 28501

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1376049619 (252) 559-2200

Dhp Of North Carolina PC

214 mi

Orthopaedic Surgery

2000 NEUSE BLVD
New Bern, NC 28560

Reassigned Medicare billing, North Carolina enrollment
73 clinicians in this Medicare group

NPI 1780949032 (252) 633-8111

St Joseph Hospital Of Nashua Nh

722 mi

Urgent Care

442 NASHUA ST
Milford, NH 03055

Reassigned Medicare billing, New Hampshire enrollment
386 clinicians in this Medicare group

NPI 1437758679 (603) 673-5623

Catholic Medical Center

735 mi

Vascular Surgery

87 MCGREGOR ST, SUITE 3100
Manchester, NH 03102

Reassigned Medicare billing, New Hampshire enrollment
43 clinicians in this Medicare group

NPI 1235370057 (603) 627-1887

Synergy Surgicalists PC

2,217 mi

Orthopaedic Surgery

155 GLASSON WAY STE L30
Grass Valley, CA 95945

Reassigned Medicare billing, New Hampshire enrollment
9 clinicians in this Medicare group

NPI 1932623782 (530) 274-6696

Legacy Clinics LLC

2,271 mi

Rural Health

36860 INDUSTRIAL WAY
Sandy, OR 97055

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1730472192 (503) 826-0206

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kelly Vanderhave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Vanderhave reassigns Medicare benefits to 8 organizations: Mcleod Physician Associates II (Darlington, SC), Henderson County Hospital Corporation (Hendersonville, NC), Vidant Medical Group LLC (Kinston, NC), Dhp Of North Carolina PC (New Bern, NC), St Joseph Hospital Of Nashua Nh (Milford, NH) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Vanderhave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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.