Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Kitson Kaczmarek, MD

Individual provider Emergency Medicine Physician · NPI 1376591149

Michael Kitson Kaczmarek, MD is an Emergency Medicine in Concord, North Carolina. Qualified in 2000, 26 years ago. Practices with Self Medical Group, a 396-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1028 Lee Ann Dr NE Ste 200
Concord, NC 28025-2911
Phone: (704) 782-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 200501956 (NC)

Record details

NPI number1376591149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESNovember 21, 2013
Mailing address1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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