Individual provider Active NPI

Karl M. Kasamon, M.D.

  • Hematology & Oncology Physician
  • Baltimore, MD
National Provider Identifier
1063489235
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0058779 Issued in MD
Practice address
3001 S Hanover St
Harbor View Cancer Center
Baltimore, MD 21225-1233
Phone
(410) 350-3386
Fax
(410) 354-0756
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0058779 MD Primary

Addresses

Primary practice location

3001 S Hanover St
Harbor View Cancer Center
Baltimore, MD 21225-1233

Mailing address

3001 S Hanover St
Harbor View Cancer Center
Baltimore, MD 21225-1233
Phone (410) 350-3386

Other identifiers 1

IdentifierTypeStateIssuer
210121100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050907000783 MD Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5193757433 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058779MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Oncology Hematology Assoc CurrentSince Jul 5, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

5450 Knoll North Dr
Ste 140
Columbia, MD 21045
Phone (410) 740-1744

305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1063489235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "address_2": "HARBOR VIEW CANCER CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-3386",
            "fax_number": "410-354-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "address_2": "HARBOR VIEW CANCER CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-3386",
            "fax_number": "410-354-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAMON",
        "first_name": "KARL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0058779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210121100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.