KAVEH KOUSARI M.D.
NPI 1407083199
Urology in Pennington, NJ
About Kaveh Kousari M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAVEH KOUSARI M.D. (NPI 1407083199) is an individual urology provider in Pennington, New Jersey, licensed in Pennsylvania (MD451720) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains a secondary practice location in Bethlehem.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaveh Kousari 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.
Medicare Billing Reassignments
6Medicare enrollment records show Kaveh Kousari reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Trenton, NJ 08638
- Reassigned Medicare billing, Pennsylvania enrollment
- 186 clinicians in this Medicare group
Dublin, PA 18917
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Quakertown, PA 18951
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Bethlehem, PA 18015
- Reassigned Medicare billing, Pennsylvania enrollment
- 318 clinicians in this Medicare group
E Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Hazleton, PA 18201
- Reassigned Medicare billing, Pennsylvania enrollment
- 305 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Schuylkill Medical Center - South Jackson Street
Acute Care Hospitals · Pottsville, PALehigh Valley Hospital
Acute Care Hospitals · Allentown, PALehigh Valley Hospital - Hazleton
Acute Care Hospitals · Hazleton, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENNINGTON, NJ 08534
PENNINGTON, NJ 08534
PENNINGTON, NJ 08534
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 Kaveh Kousari's NPI number?
The NPI number for Kaveh Kousari is 1407083199. It was assigned to this individual provider in the NPPES registry on June 19, 2009.
Where is Kaveh Kousari located?
Kaveh Kousari practices at 2 Capital Way Ste 407, Pennington, NJ 08534. The listed phone number is (609) 303-4460.
What is Kaveh Kousari's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Kaveh Kousari enrolled in Medicare?
Yes. Kaveh Kousari 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.
Which organizations bill Medicare for Kaveh Kousari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaveh Kousari reassigns Medicare benefits to 6 organizations: Capital Health Medical Group (Trenton, NJ), St Luke's Physician Group Inc (Dublin, PA), Lehigh Valley Physician Group (Quakertown, PA), Star Community Health, Inc (Bethlehem, PA), Family Care Centers Inc. (E Stroudsburg, PA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaveh Kousari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaveh Kousari accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kaveh Kousari 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.
Is Kaveh Kousari affiliated with any hospitals?
According to CMS data, Kaveh Kousari is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.
When was this NPI record last updated?
The NPPES record for Kaveh Kousari was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kaveh Kousari, M.D. · NPI 1407083199
Urology physician in Pennington, New Jersey. Individual provider, active in the CMS NPPES registry since June 19, 2009.
## Identity
- **NPI:** 1407083199 (Entity type: Individual)
- **Enumerated:** June 19, 2009
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** MD451720 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 CAPITAL WAY STE 407, Pennington, NJ 08534-2521
- **Phone:** (609) 303-4460 · **Fax:** (609) 303-4461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Capital Health Medical Group (NPI 1437516887, Trenton, NJ); St Luke's Physician Group Inc (NPI 1780293241, Dublin, PA); Lehigh Valley Physician Group (NPI 1841782026, Quakertown, PA); Star Community Health, Inc (NPI 1033686159, Bethlehem, PA); Family Care Centers Inc. (NPI 1669563037, E Stroudsburg, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407083199) · Data from the CMS NPPES public registry.