Individual provider Active NPI

Pankaj Kumar Kashyap, M.D.

  • Specialist
  • Anniston, AL
National Provider Identifier
1609864248
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6311286628 Issued in AL
Practice address
1717 Leighton Ave
Anniston, AL 36207-3832
Phone
(256) 237-3284
Fax
(256) 237-4104
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6311286628 AL Primary

Addresses

Primary practice location

1717 Leighton Ave
Anniston, AL 36207-3832

Mailing address

1717 Leighton Ave
Anniston, AL 36207-3832
Phone (256) 237-3284

Other identifiers 1

IdentifierTypeStateIssuer
529909260MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000902 AL Practitioner - Gastroenterology 8426018094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of California, Geffen School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1720 Leighton Ave
Suite a
Anniston, AL 36207-3806
Phone (256) 237-3284

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130

Merit-based Incentive Payment System (MIPS)

Final score
27.2 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy274
Upper gastrointestinal (GI) endoscopy for acid reflux324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6311286628ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Gastroenterology Associates Specialist CurrentSince Jan 1, 2002 Accepting new patients
The Health Care Authority of the City of Anniston Past Accepting new patients
Etowah Gastroenterology Associates PC Specialist Past Accepting new patients

Locations

1720 Leighton Ave
Ste A
Anniston, AL 36207
Phone (256) 237-3284

1717 Leighton Ave
Anniston, AL 36207
Phone (256) 237-1535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEDBCA

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.

Hospital & facility affiliations 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1609864248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073832",
            "telephone_number": "256-237-3284",
            "fax_number": "256-237-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073832",
            "telephone_number": "256-237-3284",
            "fax_number": "256-237-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHYAP",
        "first_name": "PANKAJ",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "6311286628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909260",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.