Individual provider Active NPI

Jeffrey I Kasper, MD

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1912907122
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0084151 Issued in FL
Practice address
5800 49TH St N
S-109
St Petersburg, FL 33709-2146
Phone
(727) 522-1115
Fax
(727) 522-0018
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME0084151 FL
Ophthalmology Physician 207W00000X ME0084151 FL Primary

Addresses

Primary practice location

5800 49TH St N
S-109
St Petersburg, FL 33709-2146

Mailing address

5800 49TH St N
S-109
St Petersburg, FL 33709-2146
Phone (727) 522-1115

Other identifiers 1

IdentifierTypeStateIssuer
263559300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070926000828 FL Practitioner - Ophthalmology 8123026358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5800 49TH St N
St Petersburg, FL 33709-2146
Phone (727) 522-1115

Hospital & facility affiliations

  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0084151FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Apr 16, 2002 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Apr 16, 2002 Accepting new patients
Orlick & Kasper , MDS, PA Ophthalmology CurrentSince Mar 1, 2002 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

2111 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 213-1385

1601 38th Ave N
St Petersburg, FL 33713
Phone (727) 822-4287

3894 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-0601

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jeffrey.kasper.p1@direct.tec.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1912907122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "S-109",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-522-1115",
            "fax_number": "727-522-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "S-109",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-522-1115",
            "fax_number": "727-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER",
        "first_name": "JEFFREY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME0084151",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0084151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263559300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.