NPIMap

Individual provider Active NPI

Ciamack Kamdar, M.D.

  • Urology Physician
  • Gastonia, NC
National Provider Identifier
1922280973
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2009-00622 Issued in NC
Practice address
631 Cox Rd
Gastonia, NC 28054-3438
Phone
(704) 864-7764
Fax
(704) 867-7894
NPI assigned
Dec 2, 2007
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A101877 CA
Urology Physician 208800000X 2009-00622 NC Primary

Addresses

Primary practice location

631 Cox Rd
Gastonia, NC 28054-3438

Mailing address

9735 Kincey Ave Ste 201
Huntersville, NC 28078-9120
Phone (704) 414-2870

Other identifiers 1

IdentifierTypeStateIssuer
5912481MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090730000548 NC Practitioner - Urology 1456414408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kentucky College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Institute of the Carolinas LLCGroup PAC ID 3173412533, 29 clinicians
Carolina Urology Partners PLLCGroup PAC ID 8921280587, 37 clinicians

Practice addresses (Care Compare)

215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120

631 Cox Rd
Gastonia, NC 28054-3438
Phone (704) 864-7764

9735 Kincey Ave
Huntersville, NC 28078-9120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101877CAMDUrology Physician
2009-00622NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Urology Partners PLLC Urology CurrentSince Mar 1, 2011 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Jan 7, 2010 Accepting new patients
Gaston Urological Associates, P.a. Urology PastSince Jul 17, 1995 Accepting new patients
California Cancer Specialists Medical Group Inc Urology Past Accepting new patients

Locations

631 Cox Rd
Gastonia, NC 28054
Phone (704) 864-7764

9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865

9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870

Interoperability endpoints

  • Direct secure messaging: ciamack.kamdar.p1@direct.cup.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1196553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1922280973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE STE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789120",
            "telephone_number": "704-414-2870",
            "fax_number": "704-414-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543438",
            "telephone_number": "704-864-7764",
            "fax_number": "704-867-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDAR",
        "first_name": "CIAMACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A101877",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2009-00622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912481",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.