DR. KEVIN M. RATHKE M.D.
NPI 1750313110
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Durham, NC
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 Naples Community Hospital, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
12Medicare enrollment records show Kevin Rathke reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Thomaston, GA 30286
- Reassigned Medicare billing, North Carolina enrollment
- 11 clinicians in this Medicare group
Far Rockaway, NY 11691
- Reassigned Medicare billing, New York enrollment
- 149 clinicians in this Medicare group
Milford, NH 03055
- Reassigned Medicare billing, New Hampshire enrollment
- 386 clinicians in this Medicare group
Concord, NH 03301
- Reassigned Medicare billing, New Hampshire enrollment
- 636 clinicians in this Medicare group
Laconia, NH 03246
- Reassigned Medicare billing, New Hampshire enrollment
- 409 clinicians in this Medicare group
Lehigh Acres, FL 33936
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Nchmd Inc
- 808 clinicians in this Medicare group
Fort Myers, FL 33966
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Fort Myers, FL 33966
- Reassigned Medicare billing, North Carolina enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Naples Community Hospital
Acute Care Hospitals · Naples, FLSt Lucie Medical Center
Acute Care Hospitals · Port Saint Lucie, FLCalverthealth Medical Center
Acute Care Hospitals · Prince Frederick, MDTrident Medical Center
Acute Care Hospitals · Charleston, SCPhysician 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.
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.
DURHAM, NC 27703
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.
Which organizations bill Medicare for Kevin Rathke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Rathke reassigns Medicare benefits to 12 organizations: Duke Health Integrated Practice, Inc. (Durham, NC), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Upson Medical Associates LLC (Thomaston, GA), St John's Medical Services PC (Far Rockaway, NY), St Joseph Hospital Of Nashua Nh (Milford, NH) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Rathke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Rathke accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 9 other insurers 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 Naples Community Hospital, St Lucie Medical Center, Calverthealth Medical Center and Trident 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 9 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.
# Dr. Kevin M. Rathke, M.D. · NPI 1750313110
Neurology with Special Qualifications in Child Neurology physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1750313110 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 01621 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4709 CREEKSTONE DR, Durham, NC 27703-9822
- **Phone:** (919) 385-8880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA); Upson Medical Associates LLC (NPI 1871575993, Thomaston, GA); St John's Medical Services PC (NPI 1023042173, Far Rockaway, NY); St Joseph Hospital Of Nashua Nh (NPI 1437758679, Milford, NH); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** January 6, 2026
- **Other identifiers:** Medicaid 891329P (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1750313110) · Data from the CMS NPPES public registry.