Active NPI
Kaukab Naseer, M.D.
- Pediatrics Physician
- Chattanooga, TN
National Provider Identifier
1326036930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 028243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000726602A | Medicaid | GA | |
| 1511723 | Medicaid | TN | |
| 38048631 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040618000458 | TN | Practitioner - Pediatric Medicine | 2365427077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028243 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1659321198
-
- Pediatrics Physician
- Soddy Daisy, TN
- NPI 1487995304
-
- Internal Medicine Physician
- Soddy Daisy, TN
- NPI 1629516307
-
- Pediatrics Physician
- Soddy Daisy, TN
- NPI 1124253257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.