DUSTIN TANNER CASPER DO
NPI 1154268167
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 29, 2026PECOS Enrolled
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-9837 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin Tanner Casper Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN TANNER CASPER DO (NPI 1154268167) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154268167
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTIN TANNER CASPERCredential: DO
Location Address111 S 11TH STPhiladelphia, PA 19107-4870
Mailing Address500 Chapelwood DrDothan, AL 36305-1024
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
NPI 1154268167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 S 11TH ST, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dustin Tanner Casper Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Casper's NPI number?

The NPI number for Dustin Casper is 1154268167. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Dustin Casper located?

Dustin Casper practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-9837.

What is Dustin Casper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dustin Casper enrolled in Medicare?

Yes. Dustin Casper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Casper was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.