Active NPI
John J Kastrup, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Henderson, NV
National Provider Identifier
1295840841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 12909
- Practice address
- 1505 Wigwam Pkwy
#330
Henderson, NV 89074-8194 - Phone
- (702) 878-0393
- Fax
- (702) 933-0633
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 12909 | NV | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD041982L | PA |
Addresses
Primary practice location
1505 Wigwam Pkwy
#330
Henderson, NV 89074-8194
Mailing address
7455 W Washington Ave
Ste 160
Las Vegas, NV 89128-4356
Phone (702) 878-0393
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68052 | Other | FL | BCBS |
| 279524800 | Medicaid | FL | |
| P00451374 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041982L | PA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Erie Orthopaedics LLC | Past | Accepting new patients | |
| Orthopaedic & Sports Medicine of Erie, PC | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Southern Hills Medical Center, LLC | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Regional Health Services Inc | Family Medicine | Past | Accepting new patients |
| St Cloud Physician Management LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- johnkastrup@nosc.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Specialist
- Erie, PA
- NPI 1780721332
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- Rehabilitation Hospital Unit
- Las Vegas, NV
- NPI 1568439693
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
- Orthopaedic Surgery Physician
- Erie, PA
- NPI 1760444624
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Internal Medicine Physician
- Saint Cloud, FL
- NPI 1245289578
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1295840841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284356",
"telephone_number": "702-878-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WIGWAM PKWY",
"address_2": "#330",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748194",
"telephone_number": "702-878-0393",
"fax_number": "702-933-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTRUP",
"first_name": "JOHN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NV",
"license": "12909",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "PA",
"license": "MD041982L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "68052",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279524800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00451374",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.