Active NPI
Maxine Camille Seales Kasangana, M.D.
- Infectious Disease Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 60891
- Practice address
- 400 E 3Rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951 - Phone
- (218) 786-8364
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 60891 | MN | |
| Infectious Disease Physician | 207RI0200X | 60891 | MN | Primary |
Addresses
Primary practice location
400 E 3Rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Mailing address
400 E 3Rd St
Essentia Health Duluth Clinic McL2Cred
Duluth, MN 55805-1951
Phone (218) 786-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Infectious Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3201 Springhill Dr
Suite 350
North Little Rock, AR 72117-2910
Phone (501) 945-0392
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60891 | MN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
3201 Springhill Dr
Ste 350
North Little Rock, AR 72117
Phone (501) 945-0392
Interoperability endpoints
- msealeskasangana279639@direct.baptist-healthar.org
Organizations & group practices 3
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.
-
dba Baptist Health Specialty Clinic North Little Rock
- Pulmonary Disease Physician
- North Little Rock, AR
- NPI 1396187597
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
dba Baptist Health Family Clinic - White Hall
- Family Medicine Physician
- White Hall, AR
- NPI 1316286149
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
dba Baptist Health Medical Center-North Little Rock
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1497790042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1417260704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC MCL2CRED",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALES KASANGANA",
"first_name": "MAXINE",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "60891",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": "60891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.