Individual provider Active NPI

Ezequiel Hernan Cassinelli, M.D.

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1033144241
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
059053 Issued in GA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000503683OtherANTHEM
7848618OtherAETNA
P00364266OtherMCR RR
0486290001OtherDME
203287OtherUNISON
2409521MedicaidOH
P00242139OtherOHRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000199 GA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8123003589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion39
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

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic P.a. CurrentSince Aug 31, 2007 Accepting new patients
Peachtree Orthopaedic Clinic CurrentSince Aug 31, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.