Barsam Kasravi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

222774 Issued in MA

Practice address

75 Bickford St
Jamaica Plain, MA 02130-1401

Phone

(617) 971-2100

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881791838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PARK DR",
            "address_2": "APT #38",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154745",
            "telephone_number": "310-968-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BICKFORD ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021301401",
            "telephone_number": "617-971-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASRAVI",
        "first_name": "BARSAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "222774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J28549",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samika Kanekar
• Eris Karanxha, PHARMD
• Carol Deardre Karman, M.ED.,L.M.H.C.
• Judith A Karpinski, LICSW
• Leah Karsberg
• Katelyn Song Eye Care LLC
• Steven Kaufman, PH.D.
• Jennifer Lee Kay, LCSW
• Mark Kearns, LICSW
• Susan Hart Keays, MSW

• Family Medicine Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.