NPIMap

Individual provider Active NPI

Cassi Brielle Grotepas, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
National Provider Identifier
1023455219
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036148321 Issued in IL
Practice address
800 E Carpenter St
Springfield, IL 62769-1000
Phone
(217) 522-3117
NPI assigned
May 28, 2013
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 10071478-1205 UT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036148321 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62769-1000

Mailing address

15 North Medical Drive East
Ste. #1100
Salt Lake City, UT 84112

Other practice location 1

15 North Medical Drive East
Ste. #1100
Salt Lake City, UT 84112
Phone (801) 581-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190817000197 IL Practitioner - Pathology 5597093302 Reassigns benefits to 1 organization
I20240318002078 MO Practitioner - Pathology 5597093302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
61.64
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.07 of 100Reported as apm
Quality
85.4
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036148321ILMDAnatomic Pathology & Clinical Pathology Physician
10071478-1205UTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists LTD Anatomic Pathology & Clinical Pathology CurrentSince Jul 22, 2019 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F Current Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center Anatomic Pathology & Clinical Pathology CurrentSince Mar 12, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Mar 12, 2024 Accepting new patients

Locations

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1023455219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NORTH MEDICAL DRIVE EAST",
            "address_2": "STE. #1100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627691000",
            "telephone_number": "217-522-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 North Medical Drive East",
            "address_2": "Ste. #1100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84112",
            "country_code": "US",
            "telephone_number": "801-581-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROTEPAS",
        "first_name": "CASSI",
        "middle_name": "BRIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "10071478-1205",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036148321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.