Active NPI
Kabafusion VA, LLC
- Home Infusion Therapy Pharmacy
- Chesapeake, VA
National Provider Identifier
1457413288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- KABAFUSION VA, LLC
- Practice address
- 816 Greenbrier Cir
Ste E
Chesapeake, VA 23320-2642 - Phone
- (757) 424-4822
- Fax
- (757) 424-5871
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sohail Masood
- Title
- Authorized Official
- Phone
- (800) 435-3020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary |
Addresses
Primary practice location
816 Greenbrier Cir
Ste E
Chesapeake, VA 23320-2642
Mailing address
19387 US Highway 19 N
Clearwater, FL 33764-3102
Phone (727) 431-8110
Other names 1
- KabaFusion VA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200420001392 | VA | DME Supplier - Pharmacy | 9638509474 | Practice locations: Chesapeake, VA |
| O20210216000051 | VA | Part B Supplier - Home Infusion Therapy Supplier | 9638509474 | Practice locations: Chesapeake, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kabafusion VA, LLC | Infusion Drugs|External Infusion Pumps and/or Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Chesapeake, VA
- NPI 1467050971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1457413288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19387 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643102",
"telephone_number": "727-431-8110",
"fax_number": "877-524-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 GREENBRIER CIR",
"address_2": "STE E",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202642",
"telephone_number": "757-424-4822",
"fax_number": "757-424-5871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KABAFUSION VA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "MASOOD",
"authorized_official_first_name": "SOHAIL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "800-435-3020"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KabaFusion VA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.