Sergei Kalsow, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

284010 Issued in NY

Practice address

1501 Kings Hwy
Department of Surgery
Shreveport, LA 71103-4228

Phone

(318) 675-6111

Fax

(318) 675-6141

NPI assigned

Apr 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sergei Kalsow MD PC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1437081601
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1831332279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SW 54TH TERRACE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33914",
            "telephone_number": "352-246-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-6111",
            "fax_number": "318-675-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSOW",
        "first_name": "SERGEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "284010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Kahlon, MD
• Lauren Elizabeth Kahre, PA-C
• Guvanch Kakamyradov
• Rama Krishna Kakani, M.D
• Anusha Kallurkar, MD
• Angel Kalu Onuma
• Tejaswi Kalva, MD
• Kamlesh & Devanshi Jani, LLC
• Richard Conrad Kamm Jr., M.D.
• Amanda Lynn Kampert, MD

• Plastic Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.