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

Michal Kaczor, MD

Individual provider Family Medicine Physician · NPI 1710148614

Michal Kaczor, MD is a Family Practice in Winston Salem, North Carolina. Qualified in 2007, 19 years ago. Practices with St Peters Hospital of the City of Albany, a 268-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina, New Hampshire, New Jersey and New York and 1 more.

Years since qualifying
19
Licensed in
NC, NH, NJ, NY, SC
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-1707
Phone: (336) 716-9252
Fax: (336) 716-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-8600
  • 2215 Burdett Ave, Troy, NY 12180-2466 — (518) 525-8600
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 87826 (SC)
Hospitalist Physician Taxonomy 208M00000X · Licence 271069 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 21154 (NH)
Hospitalist Physician Taxonomy 208M00000X · Licence 2021-00754 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA09024500 (NJ)

Record details

NPI number1710148614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Peters Hospital Of The City Of Albany — 268 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Winston Salem