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DR. STEPHEN DOWNER KICKLIGHTER M.D.
NPI 1063421345
Pediatrics - Neonatal-Perinatal Medicine in Raleigh, NC

Active since August 05, 2006PECOS Enrolled
3000 NEW BERN AVE, NEONATOLOGY DEPT., RALEIGH, NC 27610(919) 350-8545(919) 350-8146 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Downer Kicklighter M.d. NPPES

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

DR. STEPHEN DOWNER KICKLIGHTER M.D. (NPI 1063421345) is an individual neonatal-perinatal medicine provider in Raleigh, North Carolina, licensed in North Carolina (0099-00899) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063421345
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. STEPHEN DOWNER KICKLIGHTERCredential: M.D.
Location Address3000 NEW BERN AVE, NEONATOLOGY DEPT.Raleigh, NC 27610-1231
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-8545
Fax(919) 350-8146
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1063421345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 0099-00899
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3000 NEW BERN AVE, Raleigh, NC 27610
Open in Google Maps ↗

Other Identifiers 1

Medicaid891209YNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Downer Kicklighter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ADAM PETER LISEWSKI OT
Occupational Therapist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Stephen Kicklighter's NPI number?

The NPI number for Stephen Kicklighter is 1063421345. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Stephen Kicklighter located?

Stephen Kicklighter practices at 3000 New Bern Ave Neonatology Dept., Raleigh, NC 27610. The listed phone number is (919) 350-8545.

What is Stephen Kicklighter's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Stephen Kicklighter enrolled in Medicare?

Yes. Stephen Kicklighter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Kicklighter was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.