Active NPI
Cassandra Kavuri, MD
- Dermatology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 125.073254
- Practice address
- 4527 Jessup Grove Rd
Greensboro, NC 27410-9407 - Phone
- (336) 632-9272
- Fax
- (866) 554-1610
- NPI assigned
- Jun 20, 2018
- Last updated
- Jan 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 125.073254 | IL | Primary |
Addresses
Primary practice location
4527 Jessup Grove Rd
Greensboro, NC 27410-9407
Mailing address
4527 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone (336) 685-3637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Dermatology
- Education
- Loma Linda University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4527 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone 3366329272306
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.93 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 344 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists PA | Dermatology | Current | Accepting new patients |
Locations
4527 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 632-9272
510 N Elam Ave
Ste 303
Greensboro, NC 27403
Phone (336) 632-9272
Organizations & group practices 1
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.
-
- Dermatology Physician
- Greensboro, NC
- NPI 1033195789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1689168817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 JESSUP GROVE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109407",
"telephone_number": "336-685-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 JESSUP GROVE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109407",
"telephone_number": "336-632-9272",
"fax_number": "866-554-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVURI",
"first_name": "CASSANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "125.073254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.