NPIMap

Organization Active NPI

Dr. Brian Kashan, D.P.M., PA

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
National Provider Identifier
1194778167
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1175 Issued in MD
Legal business name
DR. BRIAN KASHAN, D.P.M., PA
Practice address
6506 Reisterstown Rd
Baltimore, MD 21215-2304
Phone
(410) 764-7044
NPI assigned
May 18, 2006
Organization subpart
Yes
Parent organization
DR. BRIAN KASHAN, D.P.M. , PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dr. Brian Kashan, D.P.M.NPI 1669427472
Title
President
Phone
(410) 764-7044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1175 MD Primary

Addresses

Primary practice location

6506 Reisterstown Rd
Baltimore, MD 21215-2304

Mailing address

6506 Reisterstown Rd
Baltimore, MD 21215-2304
Phone (410) 764-7044

Other identifiers 1

IdentifierTypeStateIssuer
400404300MedicaidMD

Other names 1

  • Dr. Brian Kashan, D.P.M., PA ASC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108001396 MD Part B Supplier - Ambulatory Surgical Center 5597832881 Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Plaza Ambulatory Surgery CenterCCN 21C0001175
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Brian Kashan DPM PA2 organizations share this tax ID, including this one
Part of
Brian Kashan DPM PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6506 Reisterstown Rd
Ste 501
Baltimore, MD 21215
Phone (410) 764-7044

6305 Belair Rd
Baltimore, MD 21206
Phone (410) 444-4600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1194778167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152304",
            "telephone_number": "410-764-7044",
            "fax_number": "410-764-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152304",
            "telephone_number": "410-764-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRIAN KASHAN, D.P.M., PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. BRIAN KASHAN, D.P.M. , PA",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "KASHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-764-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400404300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Brian Kashan, D.P.M., PA ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.