NPIMap

Individual provider Active NPI

Dorigen K Kasparek, MD

  • Obstetrics & Gynecology Physician
  • Duluth, GA
National Provider Identifier
1558329854
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
054445 Issued in GA
Practice address
6335 Hospital Pkwy
Suite 202
Duluth, GA 30097-1549
Phone
(770) 622-9810
Fax
(770) 622-9811
NPI assigned
May 3, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 054445 GA Primary

Addresses

Primary practice location

6335 Hospital Pkwy
Suite 202
Duluth, GA 30097-1549

Mailing address

6335 Hospital Pkwy
Suite 202
Duluth, GA 30097-1549
Phone (770) 622-9810

Other identifiers 5

IdentifierTypeStateIssuer
360921OtherGABCBS OF GEORGIA PROV #
986553856BMedicaidGA
7747558OtherGAAETNA HMO PROVIDER #
9790810OtherGACIGNA PROVIDER #
7747558OtherGAAETNA PPO PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000964 GA Practitioner - Obstetrics/Gynecology 0941284798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

634 Peachtree Pkwy
Suite 110
Cumming, GA 30041-9761
Phone (770) 622-9810

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Women's Healthcare, LLC Past Accepting new patients
North Carolina Physician Network, Inc. Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dorikasparek@completewc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/7139/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1558329854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "address_2": "SUITE 202",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "770-622-9810",
            "fax_number": "770-622-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "address_2": "SUITE 202",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "770-622-9810",
            "fax_number": "770-622-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPAREK",
        "first_name": "DORIGEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "054445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA PROV #",
            "identifier": "360921",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986553856B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "7747558",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "9790810",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER #",
            "identifier": "7747558",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.