NPIMap

Individual provider Active NPI

Samer S Kasbari, MD, MS

  • Hematology & Oncology Physician
  • Goldsboro, NC
National Provider Identifier
1881702595
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2008-00829 Issued in NC
Practice address
203 Cox Blvd
Goldsboro, NC 27534-9479
Phone
(919) 580-0000
Fax
(919) 580-0209
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X RT-1273 NH
Hematology & Oncology Physician 207RH0003X 2008-00829 NC Primary

Addresses

Primary practice location

203 Cox Blvd
Goldsboro, NC 27534-9479

Mailing address

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 580-0000

Other identifiers 1

IdentifierTypeStateIssuer
P008833572OtherNCMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skasbari@cancersmoc.direct.varian.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000440 NC Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 0749245710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Medical Oncology CenterGroup PAC ID 8325017817, 10 clinicians

Practice addresses (Care Compare)

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 580-0000

211 Beaman St
Clinton, NC 28328-2905
Phone (910) 592-5727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
94.41
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00829NCMDHematology & Oncology Physician
RT-1273NHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital Inc CurrentSince Mar 3, 2013 Accepting new patients
Southeastern Medical Oncology Center Hematology & Oncology CurrentSince Nov 30, 2009 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Mar 3, 2013 Accepting new patients

Locations

211 Beaman St
Clinton, NC 28328
Phone (877) 293-1973

203 Cox Blvd
Goldsboro, NC 27534
Phone (919) 580-0000

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

239 Station St
Jacksonville, NC 28546
Phone (910) 353-0819

Interoperability endpoints

  • Direct secure messaging: skasbari227829@direct.unc.nchie.net
  • Direct secure messaging: skasbari@cancersmoc.direct.varian.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1881702595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-580-0000",
            "fax_number": "919-580-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-580-0000",
            "fax_number": "919-580-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASBARI",
        "first_name": "SAMER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "RT-1273",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2008-00829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P008833572",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skasbari@cancersmoc.direct.varian.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "203 Cox Blvd",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.