Individual provider Active NPI

Fahim Nadir Kashif, PA-C

  • Physician Assistant
  • Dundalk, MD
National Provider Identifier
1922194398
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003457 Issued in MD
Practice address
6730 Holabird Ave Ste 120
Dundalk, MD 21222-1700
Phone
(443) 376-5785
Fax
(443) 376-5715
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA030413 DC
Physician Assistant 363A00000X C0003457 MD Primary

Addresses

Primary practice location

6730 Holabird Ave Ste 120
Dundalk, MD 21222-1700

Mailing address

6730 Holabird Ave Ste 120
Dundalk, MD 21222-1700
Phone (443) 376-5785

Other practice location 1

7801 York Rd Ste 300
Towson, MD 21204-7449
Phone (443) 376-5785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120110000229 MD Practitioner - Physician Assistant 6002908704 Reassigns benefits to 2 organizations
I20160421001859 PA Practitioner - Physician Assistant 6002908704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arundel Pain AssociatesGroup PAC ID 3971822206, 2 clinicians

Practice addresses (Care Compare)

6730 Holabird Ave
Dundalk, MD 21222-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011674NYMDRegistered Dietitian
PA030413DCMDPhysician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1922194398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 120",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-376-5785",
            "fax_number": "443-376-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 120",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-376-5785",
            "fax_number": "443-376-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 York Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047449",
            "country_code": "US",
            "telephone_number": "443-376-5785",
            "fax_number": "443-376-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASHIF",
        "first_name": "FAHIM",
        "middle_name": "NADIR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030413",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.