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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY S KISSWANY DO
NPI 1356506166
Internal Medicine in Butner, NC

Active since July 21, 2008PECOS Enrolled
1600 E C ST, BUTNER, NC 27509(919) 575-1890(919) 575-1637 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary S Kisswany Do NPPES

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

MARY S KISSWANY DO (NPI 1356506166) is an individual internal medicine provider in Butner, North Carolina, licensed in North Carolina (2024-00315) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356506166
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY S KISSWANYCredential: DO
Location Address1600 E C STButner, NC 27509-2530
Mailing Address1600 E C StButner, NC 27509-2530 · (919) 575-1890 · Fax (919) 575-1637
Phone(919) 575-1890
Fax(919) 575-1637
Sole ProprietorYes
Enumeration DateJuly 21, 2008
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1356506166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2024-00315
Definition
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.
Also ListedHospitalistTaxonomy 208M00000X · License 000246 (LA), 25MB08436700 (NJ)
1600 E C ST, Butner, NC 27509
Open in Google Maps ↗

Other Identifiers 4

Medicaid0172146NJ
OtherP00829442NJ · Rr Medicare-teaneck
OtherP00667653NJ · Railroad Medicare
Other48090-NON PARNJ · Uhp-phys Assoc Of Teaneck

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary S Kisswany Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27509 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.

RICHARD EARL MOORE JR. PHARMD
Pharmacist
1600 E C ST
BUTNER, NC 27509
Granville County (919) 515-1285
MS. DARLENE ANN LABINE COTA/L
Occupational Therapy Assistant
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1780
DR. LARRY T WILSON MD
Family Medicine
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1890
MRS. KAREN JORDAN RPH
Pharmacist
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1285
NOA BORKAN RD
Dietitian, Registered
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1208
VICKEY RAVENEL
Speech-Language Pathologist
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1692
DR. JENNIE E. BAGGETT PHARMD
Pharmacist
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1285
MURDOCH DEVELOPMENTAL CENTER
Pharmacy (Long Term Care Pharmacy)
1600 E C ST
BUTNER, NC 27509
Granville County (919) 575-1285

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 Mary Kisswany's NPI number?

The NPI number for Mary Kisswany is 1356506166. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Mary Kisswany located?

Mary Kisswany practices at 1600 E C St, Butner, NC 27509. The listed phone number is (919) 575-1890.

What is Mary Kisswany's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Kisswany enrolled in Medicare?

Yes. Mary Kisswany is registered in the Medicare PECOS enrollment system.

What insurance does Mary Kisswany accept?

Health plans from HMO Louisiana list Mary Kisswany 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.

When was this NPI record last updated?

The NPPES record for Mary Kisswany was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.