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DR. KEVIN M. RATHKE M.D.
NPI 1750313110
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Durham, NC

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
4709 CREEKSTONE DR, DURHAM, NC 27703(919) 385-8880 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Jun 21, 2023 (2 updates tracked since 2023).

About Dr. Kevin M. Rathke M.d. NPPES

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

DR. KEVIN M. RATHKE M.D. (NPI 1750313110) is an individual neurology with special qualifications in child neurology provider in Durham, North Carolina, licensed in North Carolina (01621) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Mercer University School Of Medicine (1996).

NPPES Registry Identity

NPI1750313110
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. KEVIN M. RATHKECredential: M.D.
Location Address4709 CREEKSTONE DRDurham, NC 27703-9822
Mailing Address1540 Sunday DrRaleigh, NC 27607-6010 · (919) 782-3456 · Fax (919) 787-7552
Phone(919) 385-8880
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1750313110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NC · 01621
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME176911 (FL), 2002-01621 (NC), W2772 (TX)
4709 CREEKSTONE DR, Durham, NC 27703
Open in Google Maps ↗

Other Identifiers 1

Medicaid891329PNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin M. Rathke M.d. 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 ID2163418898
PECOS Enrollment IDI20040420001579, I20251013001970
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27703 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.

NEIL ROBERT EWING PA-C
Physician Assistant
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 660-2217
CHELSEA ESPINOZA OTR/L
Occupational Therapist
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 660-5066
DR. WILLIAM A JIRANEK M.D.
Orthopaedic Surgery
4709 CREEKSTONE DR, SUITE 300
DURHAM, NC 27703
Durham County (919) 684-6166
SANDEEP KUMAR PURI MD
Pediatrics (Pediatric Gastroenterology)
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 385-8880
KENDALL MURRAY ATC
Specialist/Technologist (Athletic Trainer)
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 660-5066
DEREK GEORGE ARMSTRONG MD
Pediatrics (Pediatric Gastroenterology)
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 668-4000
MARIANNE PAUL
Orthopaedic Surgery
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 684-8111
PRIVATE DIAGNOSTIC CLINIC, PLLC
Ophthalmology
4709 CREEKSTONE DR, SUITE 100
DURHAM, NC 27703
Durham County (919) 660-5060

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 Kevin Rathke's NPI number?

The NPI number for Kevin Rathke is 1750313110. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kevin Rathke located?

Kevin Rathke practices at 4709 Creekstone Dr, Durham, NC 27703. The listed phone number is (919) 385-8880.

What is Kevin Rathke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Kevin Rathke enrolled in Medicare?

Yes. Kevin Rathke 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.

What insurance does Kevin Rathke accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Kevin Rathke 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 Kevin Rathke affiliated with any hospitals?

According to CMS data, Kevin Rathke is affiliated with Adventhealth New Smyrna Beach, Naples Community Hospital, Adventhealth Fish Memorial, St Lucie Medical Center and Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Rathke was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.