Active NPI
Kashif Naseem, MD
- Internal Medicine Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 058109
- Practice address
- 3642 Wheeler Rd
Augusta, GA 30909-6519 - Phone
- (706) 496-2573
- Fax
- (706) 496-2637
- NPI assigned
- Sep 30, 2005
- Last updated
- Jul 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200000916 | NC | |
| Internal Medicine Physician | 207R00000X | 058109 | GA | Primary |
| Hospitalist Physician | 208M00000X | 058089 | GA |
Addresses
Primary practice location
3642 Wheeler Rd
Augusta, GA 30909-6519
Mailing address
3642 Wheeler Rd
Augusta, GA 30909-6519
Phone (706) 496-2573
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870060696A | Medicaid | GA | |
| G58089 | Other | SC CAID | |
| 1699762054 | Other | BCBS GA | |
| A935Z | Other | MEDCOST | |
| 129VU | Other | BCBS | |
| 89129VU | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Talisman Dr
North Augusta, SC 29841-4032
Phone (803) 278-2170
1350 Augusta W Pkwy
Augusta, GA 30909
Phone (706) 496-2573
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232
Hospital & facility affiliations
- Amedisys Home Health Care
- Enhabit Home Health
- Trinity Home Health
- Helping Hands Hospice
- Helping Hands Hospice of South Carolina LLC
- Doctors Hospital
- Wellstar MCG Health, Affiliated With Med Col
- Piedmont Augusta Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058109 | GA | MD | Internal Medicine Physician |
| 200000916 | NC | MD | Internal Medicine Physician |
| 058089 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Hospice LLC | Current | Accepting new patients | |
| Helping Hands Hospice of South Carolina LLC | Current | Accepting new patients | |
| Walton Innovations Inc. | Current | Accepting new patients | |
| Augusta Medical Care LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Aiken Professional Association, LLC | Internal Medicine | Past | Accepting new patients |
| Ashwins, LLC | Past | Accepting new patients | |
| Doctors Hospital of Augusta LLC | Past | Accepting new patients |
Locations
1350 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 432-8321
1355 Independence Dr
Augusta, GA 30901
Phone (706) 724-7746
3642 Wheeler Rd
Augusta, GA 30909
Phone (706) 408-5759
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1200 Talisman Dr
North Augusta, SC 29841
Phone (483) 278-2170
350 Austin Graybill Rd
North Augusta, SC 29860
Phone (706) 736-5244
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Healthcarefirst, Inc | Hospice | 5% Or Greater Direct Ownership Interest (60%) Corporate Officer (60%) Corporate Director (60%) W-2 Managing Employee |
Jun 27, 2012 Jun 27, 2012 Jun 27, 2013 Jun 27, 2013 |
| Helping Hands Hospice of South Carolina LLC | Hospice | Contracted Managing Employee 5% Or Greater Direct Ownership Interest Limited Partnership Interest W-2 Managing Employee |
Jan 1, 2014 Jan 1, 2014 Jan 1, 2014 Apr 25, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1013251123
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Aiken, SC
- NPI 1083198469
5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Limited Partnership Interest, W-2 Managing Employee
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1013251123
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Aiken, SC
- NPI 1083198469
-
- Hematology & Oncology Physician
- Augusta, GA
- NPI 1679925937
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
- Internal Medicine Physician
- Aiken, SC
- NPI 1639479801
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health Care
- Home Health Agency
- Augusta, GA
- NPI 1952359705
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
dba Trinity Home Health
- Home Health Agency
- Martinez, GA
- NPI 1174991038
-
dba Enhabit Home Health
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1013251123
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Aiken, SC
- NPI 1083198469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1699762054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3642 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096519",
"telephone_number": "706-496-2573",
"fax_number": "706-496-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3642 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096519",
"telephone_number": "706-496-2573",
"fax_number": "706-496-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASEEM",
"first_name": "KASHIF",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200000916",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "058109",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "058089",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870060696A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC CAID",
"identifier": "G58089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GA",
"identifier": "1699762054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A935Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "129VU",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89129VU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.