KAI MIAO MD NPI 1265425391

Hospitalist in New Bern, NC

NPI 1265425391 Individual Male Years of Experience 38 Hospitalist PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KAI MIAO

Kai Miao is a provider established in New Bern, North Carolina and his medical specialization is hospitalist with more than 38 years of experience. The NPI number of Kai Miao is 1265425391 and was assigned on August 2005. The practitioner's primary taxonomy code is 208M00000X with license number 20101101 (NC). The provider is registered as an individual and his NPI record was last updated 10 years ago.

Kai Miao is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kai Miao is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Duke Health Raleigh Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: advance care plan and documentation of current medications in the medical record. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1265425391

Provider Name KAI MIAO MD
Provider Location Address2000 NEUSE BLVD NEW BERN, NC 28560
Provider Mailing AddressPO BOX 602463 CHARLOTTE, NC 28260
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1983
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-24-2005
Last Update Date02-01-2011


Primary Taxonomy

Taxonomy Code208M00000X
ClassificationHospitalist
TypeAllopathic & Osteopathic Physicians
License No.20101101
License StateNC
Taxonomy DescriptionHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Business Address

KAI MIAO MD
2000 NEUSE BLVD
NEW BERN, NC
ZIP 28560
Phone: (252) 633-8000
Fax: (252) 635-6951

Get Directions


Mailing Address

KAI MIAO MD
PO BOX 602463
CHARLOTTE, NC
ZIP 28260
Phone: (252) 633-8000
Fax: (252) 635-6951



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1658469168
PECOS Enrollment IDI20091230000639
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Advance Care Plan 100% 431
Documentation of Current Medications in the Medical Record 100% 257

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kai Miao is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
DUKE HEALTH RALEIGH HOSPITAL3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3000Acute Care Hospitals340073

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine2001001101NCNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
129JAOTHER (01)NC
89129JAMEDICAID (05)NC
H42481MEDICARE UPIN (02)
110226119MEDICARE PIN (08)NC
2290339BMEDICARE PIN (08)NC

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043285349DR. ROBERT BARTHOLOMEW NEWELL JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-7298
1104856988 REBECCA E MARSON CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1154362960MRS. LOREEN ELIZABETH AIKEN CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1245223197 MILLARD F BANKER IV MD
Individual
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8000
1285679472 MICHELLE KAY BAULCH OTR/L, CHT, CFCE
Individual
Occupational Therapist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8020
1306875760MR. MICHAEL IOVALE CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1326074980 THEA M IOVALE CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1376519512CRAVEN PATHOLOGY ASSOCIATES INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1427084680CAROLINAEAST MEDICAL CENTER
Organization
Prosthetic/Orthotic Supplier2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1477583615DR. RONALD B MAY M.D.
Individual
Pediatrics2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8045
1598704009COASTAL CAROLINA HEALTH CARE PA
Organization
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 514-2061
1609833201CAROLINAEAST MEDICAL CENTER
Organization
Psychiatric Unit2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1629012158MR. STEPHEN R DURCI CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1659326643MRS. VAUGHNA BRINSON GALVIN CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1710923875CAROLINAEAST MEDICAL CENTER
Organization
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1750357778DR. RICHARD MAYHEW WARD MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1780641373CAROLINAEAST MEDICAL CENTER
Organization
Rehabilitation Unit2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1932175163DR. KEITH WILKINSON BENNERT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1962446518 CYNTHIA M BOJONELL CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1962448027CAROLINAEAST MEDICAL CENTER
Organization
Specialist/Technologist Cardiovascular2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.