Active NPI
Asif Saeed Kazmi, M.D.
- Nephrology Physician
- Marion, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- E-5513
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-5513 | Other | AR | LICENSE |
| 43447 | Other | TN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN
- 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
- University of Tennessee, HSC, College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- DaVita Renal Care Marion at Home
- Fmcna - Helena
- DaVita Whitehaven Renal Center
- Fmcna - East Arkansas
- Methodist Hospitals of Memphis
- Forrest City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43447 | TN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Renal Clinic, PLC | Current | 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
- akazmi02@yourcarecommunity.org
- asif.kazmi@direct.davitaphysiciansolutions.com
- 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.
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1780676650
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Memphis, AR
- NPI 1821100678
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marion, AR
- NPI 1003861642
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Helena, AR
- NPI 1790875292
Dialysis facility
-
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.