Active NPI
Kusum B Asudani, MD
- Hospitalist Physician
- Medford, OR
National Provider Identifier
1104852680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD26855
- Practice address
- 2825 E Barnett Road
Medford, OR 97504 - Phone
- (541) 732-5545
- Fax
- (541) 732-5548
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 221888 | MA | |
| Hospitalist Physician | 208M00000X | MD26855 | OR | Primary |
Addresses
Primary practice location
2825 E Barnett Road
Medford, OR 97504
Mailing address
2640 E Barnett Road E333
Medford, OR 97504
Phone (541) 282-6770
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838334035 | Other | OR | BCBS-ROSEBURG |
| 241344 | Medicaid | OR | |
| 838366033 | Other | OR | BCBS-MCMINNVILLE |
| 844477041 | Other | OR | BCBS-GRANTS PASS |
| 858464040 | Other | OR | BCBS-SPRINGFIELD |
| P00403585 | Other | OR | RAIL ROAD MEDICARE |
| 858463032 | Other | OR | BCBS-MEDFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070308000595 | OR | Practitioner - Hospitalist | 8224131461 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
9205 SW Barnes Rd
Portland, OR 97225-6603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221888 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients |
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.
-
- Internal Medicine Physician
- Milwaukie, OR
- NPI 1013086875
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1104852680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 E BARNETT ROAD E333",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-282-6770",
"fax_number": "541-282-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E BARNETT ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-732-5545",
"fax_number": "541-732-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASUDANI",
"first_name": "KUSUM",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "221888",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "MD26855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-ROSEBURG",
"identifier": "838334035",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241344",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MCMINNVILLE",
"identifier": "838366033",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GRANTS PASS",
"identifier": "844477041",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-SPRINGFIELD",
"identifier": "858464040",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00403585",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MEDFORD",
"identifier": "858463032",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.