Kevin Richard Kasten, MD
Individual provider Active NPI Surgery Physician · Charlotte, NC
NPI 1003937079 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1003937079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2014-00583 (NC)
- Practice address
- 1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204-2963 - Phone
- (704) 355-1813
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of Texas Medical Branch at Galveston, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Medical Center
Carolinas Physicians Network Inc
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2165
10650 Park Rd
Suite 480
Charlotte, NC 28210-8538
Phone (704) 667-0520
Hospital & facility affiliations
- Atrium Health Pineville
- Carolinas Medical Center/Behav Health
- Carolinas Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140924002576 | NC | Practitioner - Colorectal Surgery (Proctology) |
0042430035 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-00583 | NC | MD | Surgery Physician |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
10660 Park Rd
Ste 2100
Charlotte, NC 28210
Phone (980) 442-0410
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204
Phone (704) 355-1813
10650 Park Rd
Ste 480
Charlotte, NC 28210
Phone (704) 355-1813
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- kkasten136990@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 2014-00583 | NC | |
| Surgery Physician | 208600000X | 2014-00583 | NC | Yes |
Addresses
Primary practice location
1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204-2963
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
10660 Park Rd
Ste 2100
Charlotte, NC 28210-8413
Phone (980) 442-0410
Other practice location 2
10650 Park Rd
Ste 480
Charlotte, NC 28210-8538
Phone (704) 667-0520
Other practice location 3
1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204-2990
Phone (980) 442-2000
Other practice location 4
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkasten136990@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in Charlotte, NC
- Onya Kasongo
- Firas Kassab
- Haimanot Kifle Kassahun
- May Mina Kassem
- Aundrea Kastein
- Kastle Chiropractic
- Mark Douglas Kastner
- Elizabeth Anna Kastory
- Shilpa Kasuganti
- Smita Kataria
All providers in Charlotte, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.