Keivan Ettefagh, MD
Pediatrics Physician · Greensboro, NC
Keivan Ettefagh, MD is a pediatrics physician with a practice address in Greensboro, North Carolina, and NPI 1144227729, issued on Jun 28, 2005. Check the license (North Carolina 2018-00348, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Keivan Ettefagh
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 2018-00348 NC
MD07109 RI
Self-reported in NPPES; status is on the state search - Practice location
- 2707 Henry St, Greensboro, NC 27405
- Phone
- (336) 574-4280
- Enumerated
- Jun 28, 2005
- Record last updated
- May 16, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (336) 574-4634
- Medicaid ID
- 9002176 RI
- Entity
- Type 1 · individual
Also registered at 2707 Henry St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Madison Botts, MDPediatrics Physician1073044699
- Mark Brassfield, M.D.Pediatrics Physician1366421471
- Austin Cox, M.D.Pediatrics Physician1972998003
- William Davis, M.D.Pediatrics Physician1417937590
- John Ellis, LAT-ATCAthletic Trainer1467464875
- Peter Jarosak, M.D.Pediatrics Physician1932188042
Verify Keivan Ettefagh in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2018-00348Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $460.32
24 payments; by number, the most common kind was food and beverage; the largest payer was Ironshore Pharmaceuticals Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
94 pediatrics physician records list a practice address in Greensboro
They are 94 of the 8,190 NPPES records with a practice address in Greensboro, and 2,356 pediatrics physician records in North Carolina.
All 94 in Greensboro → All 2,356 in North Carolina → Every provider in Greensboro →
Other pediatrics physician records in North Carolina
- Kristi Abbott, M.D.Mooresville, NC1457489973
- Ihab Abdel-Khalek, M.D.Clayton, NC1124183710
- Geoffrey Abell, MDStatesville, NC1245256130
- James Abell, MDStatesville, NC1902863574
- Raid Abo-Kamil, M.D.Edenton, NC1881850188
- Lisa Abraham, MDHendersonville, NC1699952671
- Ann AdamsHickory, NC1336633270
- Bryan Adams, MDCharlotte, NC1013932896
- Gregory Adams, MDBoone, NC1841281243
- Melanie Adams, MDWinston Salem, NC1689652943
Common questions
What is Keivan Ettefagh, MD's NPI number?
Keivan Ettefagh, MD's National Provider Identifier (NPI) is 1144227729, issued on Jun 28, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Keivan Ettefagh, MD located?
The NPPES record lists a practice address at 2707 Henry St, Greensboro, NC, 27405. Phone: (336) 574-4280. Providers update this record themselves, so call before visiting.
How can I verify Keivan Ettefagh, MD's license?
NPPES lists North Carolina license number 2018-00348, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.