KAI MIAO MD
NPI 1265425391
Hospitalist in Durham, NC

Q: What is Kai Miao's NPI number?

The NPI number for Kai Miao is 1265425391. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Kai Miao's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kai Miao was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 24, 2005PECOS Enrolled

2310 ERWIN RD, DURHAM, NC 27710(919) 862-5237 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kai Miao Md NPPES

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

KAI MIAO MD (NPI 1265425391) is an individual hospitalist provider in Durham, North Carolina, licensed in North Carolina (20101101) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265425391

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameKAI MIAOCredential: MD

Location Address2310 ERWIN RDDurham, NC 27710-0001

Mailing AddressPo Box 602463Charlotte, NC 28260-2463 · (252) 633-8000 · Fax (252) 635-6951

Phone(919) 862-5237

Sole ProprietorNo

Enumeration DateAugust 24, 2005

Last NPPES UpdateApril 12, 2024

NPPES CertifiedApril 12, 2024

✔ NPI 1265425391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 20101101

Definition

Hospitalists 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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2001001101 (NC)

2310 ERWIN RD, Durham, NC 27710

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Other Identifiers 2

Other129JANC · Blue Cross

Medicaid89129JANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kai Miao Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Kai Miao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of North Carolina PLLC

48 mi

Internal Medicine

1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401

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

NPI 1164724902 (336) 832-5777

Cogent Healthcare Of North Carolina, PC

61 mi

Internal Medicine

2460 CURTIS ELLIS DR
Rocky Mount, NC 27804

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

NPI 1548207483 (828) 456-7311

Carolina East Physicians

112 mi

Family Medicine

620 FARMLIFE AVENUE
Vanceboro, NC 28586

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Carolinaeast Physicians
320 clinicians in this Medicare group

NPI 1386934545 (252) 244-1785

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

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.

64 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMUEL AUGUSTUS HOFACKER MD

Hospitalist