Individual provider Active NPI

Kaveh Kousari, M.D.

  • Urology Physician
  • Pennington, NJ
National Provider Identifier
1407083199
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD451720 Issued in PA
Practice address
2 Capital Way Ste 407
Pennington, NJ 08534-2521
Phone
(609) 303-4460
Fax
(609) 303-4461
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2009013400 MO
Urology Physician 208800000X 25MA10072800 NJ
Urology Physician 208800000X MD451720 PA Primary

Addresses

Primary practice location

2 Capital Way Ste 407
Pennington, NJ 08534-2521

Mailing address

3 Penns TRL
Newtown, PA 18940-1812
Phone (609) 303-4460

Other practice location 1

2649 Schoenersville Rd Ste 101
Bethlehem, PA 18017-7317
Phone (484) 884-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaveh.kousari.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20140819000247 PA Practitioner - Urology 0547499923 Reassigns benefits to 6 organizations
I20210127003161 NJ Practitioner - Urology 0547499923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1250 S Cedar Crest Blvd
215 LVPG Urology
Allentown, PA 18103-6271
Phone (610) 402-6986

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009013400MOMDSurgery Physician
MD451720PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Mar 9, 2019 Accepting new patients
Family Care Centers Inc. Surgery Current Accepting new patients
Capital Health Medical Group Surgery CurrentSince Feb 1, 2021 Accepting new patients
Star Community Health, Inc CurrentSince Mar 9, 2019 Accepting new patients
Family Care Centers Inc CurrentSince Apr 15, 2024 Accepting new patients
St Luke'S Physician Group Inc Urology CurrentSince Aug 1, 2014 Accepting new patients
Hazleton Professional Services Surgery CurrentSince Apr 15, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2024 Accepting new patients
Lehigh Valley Physician Group Surgery Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2014 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

2 Capital Way
Ste 407
Pennington, NJ 08534
Phone (609) 303-4460

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1250 S Cedar Crest Blvd
Ste 215
Allentown, PA 18103
Phone (610) 402-6986

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1521 8th Ave
Ste 201
Bethlehem, PA 18018
Phone (610) 882-2598

2649 Schoenersville Rd
Ste 101
Bethlehem, PA 18017
Phone (484) 884-3600

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

99 N West End Blvd
Ste 105
Quakertown, PA 18951
Phone (215) 538-7193

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: kaveh.kousari.1@12833.direct.athenahealth.com
  • Direct secure messaging: kkousari101010@direct2.lvhn.org
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1407083199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PENNS TRL",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401812",
            "telephone_number": "609-303-4460",
            "fax_number": "609-303-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 407",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-303-4460",
            "fax_number": "609-303-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2649 Schoenersville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177317",
            "country_code": "US",
            "telephone_number": "484-884-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUSARI",
        "first_name": "KAVEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2009013400",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA10072800",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD451720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaveh.kousari.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 407",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.