Samuel Joseph Kasberg, M.D.

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

J3826 Issued in TX

Practice address

3501 Knickerbocker
San Angelo Community Medical Center
San Angelo, TX 76904-7698

Phone

(325) 947-6960

Fax

(325) 947-6968

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

82.63 of 100Reported as group

Quality

78.21

Promoting interoperability

96

Improvement activities

40

Cost

67.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD (past)
• Timothy P. Bumann D.O. P.a.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Abilene, TX
  • NPI 1326254160
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1124102371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 INDUSTRIAL BLVD",
            "address_2": "PMB 105",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057207",
            "telephone_number": "325-947-6960",
            "fax_number": "325-947-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 KNICKERBOCKER",
            "address_2": "SAN ANGELO COMMUNITY MEDICAL CENTER",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047698",
            "telephone_number": "325-947-6960",
            "fax_number": "325-947-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASBERG",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "J3826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244052",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kala Pharmacy Corp
• Jocelyn Belen Kaneshi
• Douglas J Kappelmann, MD
• Lisa Ann Karp, NNP-BC
• Gina Karr, PT
• Kimberley Suzanne Kasner, P.T.
• Jasleen Kaur, MD
• Priscilla Marek Keating, P.T.
• Madison Paige Keele
• Ilda Lombardi Keenum, LVN

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.

Verify at the official NPI Registry.