SAMIR KASHYAP D.O.
NPI 1154734606
Neurological Surgery in Jacksonville, FL

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samir Kashyap D.o. NPPES

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

SAMIR KASHYAP D.O. (NPI 1154734606) is an individual neurological surgery provider in Jacksonville, Florida, licensed in Florida (OS18866) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2014).

NPPES Registry Identity

NPI1154734606
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameSAMIR KASHYAPCredential: D.O.
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2014
Enumeration DateJune 3, 2014
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1154734606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in FL · OS18866
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2014-0559 (NM)
4500 SAN PABLO RD S, Jacksonville, FL 32224

Secondary Practice Location 1

Location 12211 Lomas Blvd NE, MSC 10-5615Albuquerque, NM 87106-2719 · Phone (505) 272-3160 · Fax (505) 272-9427

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samir Kashyap D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698994879
PECOS Enrollment IDI20230829000975
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

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.

Social Worker (Clinical)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Emergency Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Colon & Rectal Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Critical Care Medicine)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Family Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154734606, enumerated as an "individual" on June 03, 2014.

The provider is located at 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 and the phone number is (904) 953-2000.

Neurological Surgery with taxonomy code 207T00000X.