NPIMap

Individual provider Active NPI

Matthew Charles Kasprenski, M.D.

  • Pediatric Urology Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1558676429
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
01068641A Issued in IN
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859
Phone
(808) 433-2956
NPI assigned
Aug 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01068641A IN
Pediatric Urology Physician 2088P0231X 01068641A IN Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2956

Other practice location 1

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone (210) 916-6604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkasprenski339662@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230712004146 HI Practitioner - UrologyPractitioner - Pediatric Medicine 0446483408 Reassigns benefits to 3 organizations
I20240208003948 SD Practitioner - Urology 0446483408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2805 5TH St
Rapid City, SD 57701-6003
Phone (605) 755-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
74.46
Promoting interoperability
97
Improvement activities
40
Cost
73.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068641AINMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince May 11, 2024 Accepting new patients
Kapiolani Medical Specialists CurrentSince May 11, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jun 1, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jun 1, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Dec 13, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Kauai Medical Clinic CurrentSince May 11, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1401 S Beretania St
Ste 360
Honolulu, HI 96814
Phone (808) 522-7222

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

55 Merchant St
Fl 22
Honolulu, HI 96813
Phone (808) 535-7600

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: mkasprenski339662@reidhealth.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 12

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1558676429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "96859",
            "telephone_number": "808-433-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-6604",
            "fax_number": "210-916-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPRENSKI",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01068641A",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IN",
            "license": "01068641A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkasprenski339662@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1100 Reid Pkwy",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.