Active NPI
Christian Nelson Kaschak, DO
- Emergency Medicine Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2024-01417
- Practice address
- 2301 Erwin Rd
Durham, NC 27710-3328 - Phone
- (919) 684-8111
- NPI assigned
- Mar 28, 2021
- Last updated
- Jun 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 125078936 | IL | |
| Emergency Medicine Physician | 207P00000X | 2024-01417 | NC | Primary |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27710-3328
Mailing address
1306 Merrion Ave Apt 306
Durham, NC 27703-0607
Phone (717) 818-6273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14605 Potomac Branch Dr
Woodbridge, VA 22191-3337
Phone (703) 620-3211
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125078936 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Fair Oaks Emergency Physicians, PLLC | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211
Interoperability endpoints
- ckaschak139856@direct.luhs.org
- ckaschak1449290@soc.inova.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Single Specialty
-
- Emergency Medical Services (Emergency Medicine) Physician
- Fairfax, VA
- NPI 1649203605
DC, Single Specialty
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Single Specialty
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1396322970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 MERRION AVE APT 306",
"city": "DURHAM",
"state": "NC",
"postal_code": "277030607",
"telephone_number": "717-818-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277103328",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASCHAK",
"first_name": "CHRISTIAN",
"middle_name": "NELSON",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-28",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125078936",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2024-01417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.