Individual provider Active NPI

Aser M Kandil, MD

  • Neonatal-Perinatal Medicine Physician
  • Sebastopol, MS
National Provider Identifier
1386621233
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
0101251947 Issued in VA
Practice address
1488 Hwy 487
Sebastopol, MS 39359
Phone
(601) 625-7140
Fax
(601) 625-7199
NPI assigned
Dec 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17922 MS
Neonatal-Perinatal Medicine Physician 2080N0001X BK8142022 MD
Neonatal-Perinatal Medicine Physician 2080N0001X 0101251947 VA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X FK6649377 VA
Neonatal-Perinatal Medicine Physician 2080N0001X D0074281 MD

Addresses

Primary practice location

1488 Hwy 487
Sebastopol, MS 39359

Mailing address

PO Box 150
Sebastopol, MS 39359
Phone (601) 625-7140

Other identifiers 2

IdentifierTypeStateIssuer
P00113126OtherRAILROAD MEDICARE
00126777MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120720000385 DC Practitioner - Pediatric Medicine 8325196009 Reassigns benefits to 1 organization
I20240617001701 MD Practitioner - Pediatric Medicine 8325196009 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074281MDMDNeonatal-Perinatal Medicine Physician
0101251947VAMDNeonatal-Perinatal Medicine Physician
FK6649377VAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Jun 1, 2012 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jun 30, 2024 Accepting new patients
Children's Hospital Pediatrics CurrentSince Jun 1, 2012 Accepting new patients
Children's Hospital Current Accepting new patients
East Central Mississippi Health Care, Inc. Past Accepting new patients
East Central Mississippi Health Care Inc Past Accepting new patients
Anderson Physician Alliance, Inc. Past Accepting new patients
Tidalhealth Peninsula Regional, Inc. Past Accepting new patients
Meridian Hma Clinic Management LLC Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386621233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-625-7140",
            "fax_number": "601-625-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 HWY 487",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-625-7140",
            "fax_number": "601-625-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDIL",
        "first_name": "ASER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "17922",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "BK8142022",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0101251947",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "FK6649377",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D0074281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00113126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126777",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, MS

Sources for this page

Verify at the official NPI Registry.