Individual provider Active NPI

Abdel H Kasmia, MD

  • Specialist
  • Fairhope, AL
National Provider Identifier
1821033127
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00016221 Issued in AL
Practice address
188 Hospital Dr Ste 300
Fairhope, AL 36532-2038
Phone
(251) 990-1910
Fax
(251) 990-1911
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00016221 AL Primary

Addresses

Primary practice location

188 Hospital Dr Ste 300
Fairhope, AL 36532-2038

Mailing address

188 Hospital Dr Ste 300
Fairhope, AL 36532-2038
Phone (251) 990-1910

Other identifiers 3

IdentifierTypeStateIssuer
000031950MedicaidAL
515-46871OtherBCBS AL
510G700156OtherALMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080415000667 AL Practitioner - Neurology 3072604495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Alabama College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

188 Hospital Dr
Suite 300
Fairhope, AL 36532-2038
Phone (251) 990-1911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00016221ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Eastern Shore Adult Medicine, LLC CurrentSince Jul 1, 2022 Accepting new patients
Foley Clinic Corp Past Accepting new patients
Neurology Child and Adult PC Specialist Past Accepting new patients

Locations

188 Hospital Dr
Ste 300
Fairhope, AL 36532
Phone (251) 990-1910

300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560

300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

Interoperability endpoints

  • Direct secure messaging: akasmia14558@directinfirmaryhealth.org
  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

Organizations & group practices 3

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 5

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1821033127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 300",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322038",
            "telephone_number": "251-990-1910",
            "fax_number": "251-990-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 300",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322038",
            "telephone_number": "251-990-1910",
            "fax_number": "251-990-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASMIA",
        "first_name": "ABDEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00016221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031950",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-46871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "510G700156",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.