Individual provider Active NPI

Asif Saeed Kazmi, M.D.

  • Nephrology Physician
  • Marion, AR
National Provider Identifier
1750501623
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E-5513 Issued in AR
Practice address
1120 State Highway 77 Ste 1
Marion, AR 72364-9046
Phone
(870) 733-1177
Fax
(870) 702-6128
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 43447 TN
Nephrology Physician 207RN0300X E-5513 AR Primary

Addresses

Primary practice location

1120 State Highway 77 Ste 1
Marion, AR 72364-9046

Mailing address

1120 State Highway 77
Suite No. 1, 2ND Floor
Marion, AR 72364-9027
Phone (870) 733-1177

Other identifiers 2

IdentifierTypeStateIssuer
E-5513OtherARLICENSE
43447OtherTNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080609000012 AR Practitioner - Internal MedicinePractitioner - Nephrology 8628148236 Reassigns benefits to 1 organization
I20130718000636 TN Practitioner - NephrologyPractitioner - Internal Medicine 8628148236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Renal Clinic, PLCGroup PAC ID 2062303795, 2 clinicians
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

1120 State Hwy 77
Suite 1
Marion, AR 72364-9046
Phone (870) 733-1177

1251 Wesley Dr
Suite 104
Memphis, TN 38116-6442
Phone (870) 733-1177

1325 Eastmoreland Ave
Suite 445
Memphis, TN 38104-7536
Phone (901) 866-8810

Hospital & facility affiliations

  • DaVita Forrest City Dialysis Dialysis facility, Forrest City, AR, CCN 042585
  • DaVita Renal Care Marion at Home Dialysis facility, Marion, AR, CCN 042573
  • Fmcna - Helena Dialysis facility, Helena, AR, CCN 042510
  • DaVita Whitehaven Renal Center Dialysis facility, Memphis, TN, CCN 442655
  • Fmcna - East Arkansas Dialysis facility, West Memphis, AR, CCN 042528
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Forrest City Medical Center Hospital, Forrest City, AR, CCN 040019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43447TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Renal Clinic, PLC CurrentSince Jan 20, 2012 Accepting new patients

Locations

1501 N Washington St
Forrest City, AR 72335
Phone (870) 494-2015

1120 State Highway 77
Ste 1
Marion, AR 72364
Phone (870) 732-5803

1264 Wesley Dr
Ste 601
Memphis, TN 38116
Phone (901) 259-2800

1251 Wesley Dr
Ste 104
Memphis, TN 38116
Phone (870) 733-1177

Interoperability endpoints

  • Direct secure messaging: akazmi02@yourcarecommunity.org
  • Direct secure messaging: asif.kazmi@direct.davitaphysiciansolutions.com
  • Direct secure messaging: akazmi22428@mlh.direct-ci.com

Organizations & group practices 2

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 7

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1750501623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 STATE HIGHWAY 77",
            "address_2": "SUITE NO. 1, 2ND FLOOR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649027",
            "telephone_number": "870-733-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE HIGHWAY 77 STE 1",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649046",
            "telephone_number": "870-733-1177",
            "fax_number": "870-702-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMI",
        "first_name": "ASIF",
        "middle_name": "SAEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "43447",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-5513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E-5513",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43447",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.