Individual provider Active NPI

Edwin E Kasha, M.D.

  • Dermatology Physician
  • Evansville, IN
National Provider Identifier
1932108503
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01032814 Issued in IN
Practice address
999 S Kenmore Dr
Suite a
Evansville, IN 47714-7514
Phone
(812) 477-9495
Fax
(812) 477-0134
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01032814 IN Primary

Addresses

Primary practice location

999 S Kenmore Dr
Suite a
Evansville, IN 47714-7514

Mailing address

PO Box 15415
Evansville, IN 47716-0415
Phone (812) 477-9495

Other identifiers 4

IdentifierTypeStateIssuer
000000108102OtherKYANTHEM PREFERRED ACCESS
000000526765OtherINANTHEM
020007857OtherINRAILROAD MEDICARE
35-1738788OtherINFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080711000008 IN Practitioner - Dermatology 7214009000 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

999 S Kenmore Dr
A
Evansville, IN 47714-7514

999 S Kenmore Dr a
Evansville, IN 47714-7514
Phone (812) 477-9495

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1086
Removal or shaving of skin growth528
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032814INMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermplus Dermatology CurrentSince Jan 1, 1990 Accepting new patients

Locations

999 S Kenmore Dr
#A
Evansville, IN 47714
Phone (812) 477-9495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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 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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1932108503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15415",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160415",
            "telephone_number": "812-477-9495",
            "fax_number": "812-477-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S KENMORE DR",
            "address_2": "SUITE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147514",
            "telephone_number": "812-477-9495",
            "fax_number": "812-477-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHA",
        "first_name": "EDWIN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01032814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PREFERRED ACCESS",
            "identifier": "000000108102",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000526765",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020007857",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "35-1738788",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.