NPIMap

Individual provider Active NPI

Samera Kasim, DO

  • Orthopaedic Surgery Physician
  • Monterey, CA
National Provider Identifier
1902113483
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A11647 Issued in CA
Practice address
12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone
(831) 648-7200
NPI assigned
Sep 7, 2010
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A11647 CA Primary

Addresses

Primary practice location

12 Upper Ragsdale Dr
Monterey, CA 93940-5730

Mailing address

12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200

Other identifiers 1

IdentifierTypeStateIssuer
20A11647OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110817000720 CA Practitioner - Orthopedic Surgery 0345419875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians
Montage Surgical GroupGroup PAC ID 2769970839, 17 clinicians

Practice addresses (Care Compare)

12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)96
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11647CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 24, 2013 Accepting new patients
Montage Surgical Group Orthopaedic Surgery CurrentSince Jun 8, 2025 Accepting new patients
Monterey Spine & Joint PC Orthopaedic Surgery CurrentSince Jul 8, 2013 Accepting new patients
Monterey Spine & Joint PC Orthopaedic Surgery CurrentSince Jul 8, 2013 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Premier Orthopaedic and Hand Center, SC Orthopaedic Surgery Past Accepting new patients
Ingalls Memorial Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: samera.kasim.p1@direct.msjhealth.nextgenshare.com

Organizations & group practices 9

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 3

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1902113483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-648-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-648-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIM",
        "first_name": "SAMERA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A11647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "20A11647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.