Individual provider Active NPI

Michael E Kasabian, DO

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1275527293
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5154 Issued in FL
Practice address
1190 E Nine Mile Rd
Pensacola, FL 32514-1651
Phone
(850) 474-8771
Fax
(850) 479-9180
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5154 FL Primary

Addresses

Primary practice location

1190 E Nine Mile Rd
Pensacola, FL 32514-1651

Mailing address

1190 E Nine Mile Rd
Pensacola, FL 32514-1651
Phone (850) 474-8771

Other identifiers 1

IdentifierTypeStateIssuer
047332400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050803000259 FL Practitioner - Family Practice 5698703361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pensacola Primary Care IncGroup PAC ID 6002718343, 21 clinicians

Practice addresses (Care Compare)

6431 N W St
West Florida Primary Care
Pensacola, FL 32505-1719
Phone (850) 474-3660

Hospital & facility affiliations

  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
  • Concierge Home Care Home health agency, Pensacola, FL, CCN 107423
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc Family Medicine CurrentSince Aug 1, 2005 Accepting new patients
Pensacola Primary Care Inc Family Medicine CurrentSince Aug 1, 2005 Accepting new patients
Pensacola Primary Care, Inc. Past Accepting new patients
Bethesda Medical Associates Past Accepting new patients

Locations

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

6431 N W St
Pensacola, FL 32505
Phone (850) 474-3660

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michael.kasabian@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1275527293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141651",
            "telephone_number": "850-474-8771",
            "fax_number": "850-479-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141651",
            "telephone_number": "850-474-8771",
            "fax_number": "850-479-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASABIAN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047332400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.