Individual provider Active NPI

Kurt D Kastendieck, MD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1003804923
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200152 Issued in NM
Practice address
421 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone
(505) 992-3334
Fax
(505) 992-1998
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200152 NM Primary

Addresses

Primary practice location

421 Saint Michaels Dr
Santa Fe, NM 87505-7601

Mailing address

421 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 992-3334

Other identifiers 1

IdentifierTypeStateIssuer
F1927MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000089 NM Practitioner - Family Practice 2264523091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity IncGroup PAC ID 6800987637, 3 clinicians

Practice addresses (Care Compare)

2055 S Pacheco St
Suite 300
Santa Fe, NM 87505-0504
Phone (505) 992-3334

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions27
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200152NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Inc Family Medicine CurrentSince Aug 1, 2007 Accepting new patients

Locations

421 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 983-9878

2055 S Pacheco St
Ste 300
Santa Fe, NM 87505
Phone (505) 984-2300

Interoperability endpoints

  • Direct secure messaging: kurt.kastendieck.1@19356.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1003804923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-992-3334",
            "fax_number": "505-992-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-992-3334",
            "fax_number": "505-992-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTENDIECK",
        "first_name": "KURT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "200152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F1927",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.