Active NPI
David H Kauder, MD
- Urology Physician
- Salem, MA
National Provider Identifier
1003875899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 41052
- Practice address
- 400 Highland Ave
Suite 6
Salem, MA 01970-7003 - Phone
- (978) 741-4133
- Fax
- (978) 741-7742
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 41052 | MA | Primary |
| Urology Physician | 208800000X | MD20040514 | NM |
Addresses
Primary practice location
400 Highland Ave
Suite 6
Salem, MA 01970-7003
Mailing address
400 Highland Ave
Suite 6
Salem, MA 01970-7003
Phone (978) 741-4133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054833 | Medicaid | MA | |
| AK7634264 | Other | BNDD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41052 | MA | MD | Urology Physician |
| MD20040514 | NM | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1003875899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"address_2": "SUITE 6",
"city": "SALEM",
"state": "MA",
"postal_code": "019707003",
"telephone_number": "978-741-4133",
"fax_number": "978-741-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"address_2": "SUITE 6",
"city": "SALEM",
"state": "MA",
"postal_code": "019707003",
"telephone_number": "978-741-4133",
"fax_number": "978-741-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUDER",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "41052",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NM",
"license": "MD20040514",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054833",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "AK7634264",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.