NPIMap

Individual provider Active NPI

Richard K Kasama, MD

  • Nephrology Physician
  • Cherry Hill, NJ
National Provider Identifier
1912095647
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA56250 Issued in NJ
Practice address
1030 Kings Hwy N
Suite 310
Cherry Hill, NJ 08034-1907
Phone
(856) 667-7266
Fax
(856) 779-9179
NPI assigned
Oct 10, 2006
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA56250 NJ Primary

Addresses

Primary practice location

1030 Kings Hwy N
Suite 310
Cherry Hill, NJ 08034-1907

Mailing address

401 Haddon Ave RM 283
Camden, NJ 08103-1505
Phone (856) 757-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110310000752 NJ Practitioner - NephrologyPractitioner - Internal Medicine 9335213842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Bypass Rd
Suite 104
Salem, NJ 08079-2053
Phone (856) 887-3005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56250NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Tri State Nephrologists LLC Nephrology CurrentSince Sep 1, 2018 Accepting new patients
Sultan Seretis Bussey Hospitalist LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

4 Bypass Rd
Ste 104
Salem, NJ 08079
Phone (856) 887-3005

5 Route 45
Salem, NJ 08079
Phone (856) 935-0949

5 Route 45
Ste 101
Salem, NJ 08079
Phone (856) 878-1500

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 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1912095647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HADDON AVE RM 283",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031505",
            "telephone_number": "856-757-7844",
            "fax_number": "856-757-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 KINGS HWY N",
            "address_2": "SUITE 310",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341907",
            "telephone_number": "856-667-7266",
            "fax_number": "856-779-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAMA",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA56250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.