Active NPI
Tafadzwa Stephen Kasambira, M.D., M.P.H.
- Pediatric Infectious Diseases Physician
- Baltimore, MD
National Provider Identifier
1720125248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- T4711
- Practice address
- 200 N Wolfe St
#3093
Baltimore, MD 21287-0001 - Phone
- (410) 614-3917
- NPI assigned
- Jan 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | T4711 | MD | Primary |
Addresses
Primary practice location
200 N Wolfe St
#3093
Baltimore, MD 21287-0001
Mailing address
14520 Banquo Ter
Silver Spring, MD 20906-2677
Phone (301) 598-5467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T4711 | MD | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720125248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14520 BANQUO TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062677",
"telephone_number": "301-598-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WOLFE ST",
"address_2": "#3093",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870001",
"telephone_number": "410-614-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASAMBIRA",
"first_name": "TAFADZWA",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MD",
"license": "T4711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.