Active NPI
Ezequiel Hernan Cassinelli, M.D.
- Orthopaedic Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 059053
- Practice address
- 5505 Peachtree Dunwoody Rd NE
Suite 600
Atlanta, GA 30342-1705 - Phone
- (404) 355-0743
- Fax
- (404) 943-0641
- NPI assigned
- Jul 12, 2006
- Last updated
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 059053 | GA | Primary |
Addresses
Primary practice location
5505 Peachtree Dunwoody Rd NE
Suite 600
Atlanta, GA 30342-1705
Mailing address
2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000503683 | Other | ANTHEM | |
| 7848618 | Other | AETNA | |
| P00364266 | Other | MCR RR | |
| 0486290001 | Other | DME | |
| 203287 | Other | UNISON | |
| 2409521 | Medicaid | OH | |
| P00242139 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at Houston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1163 Johnson Ferry Rd
Suite 200
Marietta, GA 30068-2764
Phone (404) 355-0743
1901 Phoenix Blvd
Suite 200
College Park, GA 30349-5062
Phone (404) 355-6548
2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743
3200 Downwood Cir NW
Suite 700
Atlanta, GA 30327-5308
Phone (404) 355-0743
5505 Peachtree Dunwoody Rd
Suite 600
Atlanta, GA 30342-1717
Phone (404) 425-1577
Hospital & facility affiliations
- Northside Hospital
- Piedmont Hospital, Inc
- Wellstar Kennestone Regional Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 39 |
| Laminectomy or laminotomy (partial removal of spine bones) | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Orthopaedic Clinic P.a. | Current | Accepting new patients | |
| Peachtree Orthopaedic Clinic | Current | Accepting new patients | |
| Peachtree Orthopaedic Clinic PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309
2860 Ronald Reagan Blvd
Ste 240
Cumming, GA 30041
5505 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342
Phone (404) 425-1577
Interoperability endpoints
- ezequiel.cassinelli.1@8474.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
-
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
- NPI 1588802474
-
dba Peachtree Orthopaedic Physical Therapy
- Physical Therapist
- Atlanta, GA
- NPI 1306022264
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1033144241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 PEACHTREE RD NE",
"address_2": "SUITE 705",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091476",
"telephone_number": "404-355-0743",
"fax_number": "404-355-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421705",
"telephone_number": "404-355-0743",
"fax_number": "404-943-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSINELLI",
"first_name": "EZEQUIEL",
"middle_name": "HERNAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "059053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000503683",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7848618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RR",
"identifier": "P00364266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0486290001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "203287",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2409521",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00242139",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.