Mark Douglas Kastner, MD
Individual provider Active NPI Emergency Medicine Physician · Charlotte, NC
NPI 1972062016 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1972062016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 249993 (NC)
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-3181
- Fax
- (704) 355-7047
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Florida State University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Medical Center
Stallings Emergency Physicians PLLC
Wake Forest Emergency Providers
Ballantyne Emergency Physicians PLLC
Gastonia Physician Services PLLC
The Carolinas Emergency Group, PLLC
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1000 Healing Way
Matthews, NC 28104-4969
Phone (980) 993-2000
1130 Tree of Life LN
Cornelius, NC 28301-0000
Phone (888) 892-3204
11516 Providence Rd
Charlotte, NC 28277-2691
Phone (704) 667-0370
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
600 Hospital Dr
Monroe, NC 28112-6000
Phone (980) 993-3100
Hospital & facility affiliations
- Atrium Health Union
- Caromont Regional Medical Center
- Stanly Regional Medical Center
- Atrium Health Pineville
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.67
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.01 of 100
- Quality
- 80.14
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.15 of 100
- Quality
- 81.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621001010 | NC | Practitioner - Emergency Medicine | 9234465584 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249993 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballantyne Emergency Physicians PLLC | Emergency Medicine | Current |
Accepting new patients |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Emergency Medicine | Current |
Accepting new patients |
| Gastonia Physician Services, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Western Carolina Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Stallings Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Wake Forest Emergency Providers | Current |
Accepting new patients | |
| Ballantyne Emergency Physicians PLLC | Emergency Medicine | Current |
Accepting new patients |
| Gastonia Physician Services, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1130 Tree of Life Ln
Cornelius, NC 28031
Phone (704) 512-2000
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
2700 S Providence Rd
Waxhaw, NC 28173
Phone (704) 243-2254
Interoperability endpoints
- mkastner630608@carolinashealthcaresystem.direct-ci.com
- mark.kastner.1@17278.direct.athenahealth.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 249993 | NC | Yes |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Other providers in Charlotte, NC
- Haimanot Kifle Kassahun
- May Mina Kassem
- Aundrea Kastein
- Kevin Richard Kasten
- Kastle Chiropractic
- Elizabeth Anna Kastory
- Shilpa Kasuganti
- Smita Kataria
- Rutvi Chetankumar Katariya
- Andrew Katerakis
All providers in Charlotte, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.