Individual provider Active NPI

Cassandra Kavuri, MD

  • Dermatology Physician
  • Greensboro, NC
National Provider Identifier
1689168817
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
125.073254 Issued in IL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000222 NC Practitioner - Dermatology 4183974017 Reassigns benefits to 1 organization

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
Dermatology Specialists PAGroup PAC ID 3577522143, 7 clinicians

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 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
78.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions344
Removal or shaving of skin growth11
Skin biopsy103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists PA Dermatology CurrentSince Aug 1, 2022 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.

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

Verify at the official NPI Registry.