Active NPI
Kasra Keramatian
- Neurology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2021047063
- Practice address
- 3801 S National Ave Ste 900
Springfield, MO 65807-5210 - Phone
- (417) 875-3000
- NPI assigned
- Apr 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | MD470017 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 2021047063 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave Ste 900
Springfield, MO 65807-5210
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Other practice location 1
3471 5th Ave Ste 810
Pittsburgh, PA 15213-3206
Phone (412) 692-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200111914 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021047063 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Neurology | Current | Accepting new patients |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
Locations
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
3801 S National Ave
Ste 900
Springfield, MO 65807
Phone (417) 269-2710
3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482
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.
-
- Cardiovascular Disease Physician
- Springfield, MO
- NPI 1750036703
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- Family Medicine Physician
- Willow Springs, MO
- NPI 1417122326
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1346604683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE STE 900",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-875-3000"
}
],
"practiceLocations": [
{
"address_1": "3471 5th Ave Ste 810",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152133206",
"country_code": "US",
"telephone_number": "412-692-4920",
"fax_number": "412-692-4907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERAMATIAN",
"first_name": "KASRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-13",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "PA",
"license": "MD470017",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2021047063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200111914",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.
- 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.