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KARTHIK KAVASSERI M.D.
NPI 1245645183
Family Medicine in Zuni, NM

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
ROUTE 301 NORTH, ZUNI, NM 87327(505) 782-4431(505) 782-4502 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2019, Apr 29, 2018 (2 updates tracked since 2018).

About Karthik Kavasseri M.d. NPPES

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

KARTHIK KAVASSERI M.D. (NPI 1245645183) is an individual family medicine provider in Zuni, New Mexico, licensed in New Mexico (MD2017-0166) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1245645183
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARTHIK KAVASSERICredential: M.D.
Location AddressROUTE 301 NORTHZuni, NM 87327
Mailing AddressPo Box 467Zuni, NM 87327-0467 · (505) 782-4431
Phone(505) 782-4431
Fax(505) 782-4502
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration
✔ NPI 1245645183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD2017-0166
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ROUTE 301 NORTH, Zuni, NM 87327
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Other Identifiers 1

Medicaid1320751NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Karthik Kavasseri M.d. 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 ID6204054406
PECOS Enrollment IDI20250730000901
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services72 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87327 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier16 claims21 services$3.17 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
1 supplier16 claims170 services$5.30 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier23 claims300 services$2.43 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$68.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers11 claims11 services$31.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. NADRA CAVERO MD
Family Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-4431
FRANCOIS GASPARD ROLLIN M.D.
Internal Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-4431
DR. EMMA OBERLANDER DO
Family Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-4431
LAURA URBANSKI M.D.
Family Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-4431
JILLIAN MOORE MD
Family Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-7449
DR. KEVIN CHRISTOPHER GAUVEY-KERN MD
Internal Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-4431
DR. PAULA LYNN JOHNS O.D.
Optometrist
ROUTE 301 NORTH, ZUNI HOSPITAL
ZUNI, NM 87327
McKinley County (505) 782-7485
DR. JOSHUA D BACK MD
Family Medicine
ROUTE 301 NORTH
ZUNI, NM 87327
McKinley County (505) 782-4431

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 Karthik Kavasseri's NPI number?

The NPI number for Karthik Kavasseri is 1245645183. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Karthik Kavasseri located?

Karthik Kavasseri practices at Route 301 North, Zuni, NM 87327. The listed phone number is (505) 782-4431.

What is Karthik Kavasseri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karthik Kavasseri enrolled in Medicare?

Yes. Karthik Kavasseri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karthik Kavasseri accept?

Health plans from Blue Cross Blue Shield of Arizona, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Karthik Kavasseri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karthik Kavasseri was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.