Roger Ashley Kasendorf, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

20A12928 Issued in CA

Practice address

9834 Genesee Ave Ste 221
La Jolla, CA 92037-1215

Phone

(858) 558-1275

Fax

(858) 244-0152

NPI assigned

Jul 3, 2006

Last updated

Aug 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Physical Medicine and RehabilitationAlso: Addiction Medicine, Pain Management

Education

New York College of Osteo Medicine of New York Institute of Technology, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho 1 Medical GroupGroup PAC ID 0042619876, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Merit-based Incentive Payment System (MIPS)

Final score

22.18 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkasendorf43618@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ortho 1 Medical Group

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1609471929
  Medicare reassignment Care Compare group NPD
• Roger Kasendorf, DO, PC

  • Physical Medicine & Rehabilitation Physician
  • La Jolla, CA
  • NPI 1124389473
  Medicare reassignment NPD Authorized official
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Rockville Anesthesia Group LLP

  • Anesthesiology Physician
  • Rockville Centre, NY
  • NPI 1841303997
  NPD
• Advanced Health Sports & Occupation

  • Chiropractor
  • Stamford, CT
  • NPI 1154337707
  NPD (past)
• Gleneida Medical Care PC

  • Specialist
  • Carmel, NY
  • NPI 1861588204
  NPD (past)
• Jacquelyn English DO PLLC

  • Family Medicine Physician
  • Long Beach, NY
  • NPI 1508328667
  NPD (past)
• N. S. So Island Diag GRP

  • Clinical Medical Laboratory
  • Rockaway Beach, NY
  • NPI 1043492374
  NPD (past)

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

• Scripps Health

  dba Scripps Memorial Hospital La Jolla

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1356371884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 427",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371264",
            "telephone_number": "516-336-4362",
            "fax_number": "858-244-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 221",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371215",
            "telephone_number": "858-558-1275",
            "fax_number": "858-244-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASENDORF",
        "first_name": "ROGER",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "239449-1",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A12928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02940027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Bloch, MFT
• Elina Kari, M.D.
• Abdulrahman Karmach, MD
• Leslie Elizabeth Karr, FNP
• Nicole Marie Karst Camlin, PSYD
• Donna Vafa Kashani, M.D.
• Carol Kashefi, M.D.
• Nikoo D. Kashefi, FNP-BC
• Isabel Katlaps, MD
• Heather Katsma, PHARMD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2021; 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.

Verify at the official NPI Registry.