Individual provider Active NPI

Kaukab Naseer, M.D.

  • Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1326036930
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
028243 Issued in TN
Practice address
2120 Northgate Park LN
Ste 402 BLDG 1
Chattanooga, TN 37415
Phone
(423) 877-4524
Fax
(423) 875-5860
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 028243 TN Primary

Addresses

Primary practice location

2120 Northgate Park LN
Ste 402 BLDG 1
Chattanooga, TN 37415

Mailing address

PO Box 1059
Soddy Daisy, TN 37384
Phone (423) 451-0622

Other identifiers 3

IdentifierTypeStateIssuer
000726602AMedicaidGA
1511723MedicaidTN
38048631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040618000458 TN Practitioner - Pediatric Medicine 2365427077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028243TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soddy Daisy Family Care Pediatrics Past Accepting new patients
Soddy Daisy Pediatrics Pediatrics Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients
Soddy Daisy Medical Care Past Accepting new patients
Erlanger Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJADD/Endpoint/IGJADD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1326036930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "37384",
            "telephone_number": "423-451-0622",
            "fax_number": "423-451-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 NORTHGATE PARK LN",
            "address_2": "STE 402 BLDG 1",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-877-4524",
            "fax_number": "423-875-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASEER",
        "first_name": "KAUKAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "028243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000726602A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511723",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38048631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.