Individual provider Active NPI

Robert E Cassidy, M.D.

  • Orthopaedic Surgery Physician
  • Martinsville, VA
National Provider Identifier
1033170659
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101-053359 Issued in VA
Practice address
315 Hospital Dr
Suite 105
Martinsville, VA 24112-1945
Phone
(276) 666-7723
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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 0101-053359 VA Primary

Addresses

Primary practice location

315 Hospital Dr
Suite 105
Martinsville, VA 24112-1945

Mailing address

315 Hospital Dr
Suite 105
Martinsville, VA 24112-1945

Other identifiers 1

IdentifierTypeStateIssuer
1033170659MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040109000443 VA Practitioner - Orthopedic Surgery 9830099670 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-053359VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC Orthopaedic Surgery CurrentSince Jul 1, 2013 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jul 1, 2013 Accepting new patients
Robert E Cassidy MD PC Orthopaedic Surgery PastSince Jan 1, 1999 Accepting new patients
Private Diagnostic Clinic, PLLC Orthopaedic Surgery Past Accepting new patients
Central Vision, P.C. PastSince Feb 2, 2005 Accepting new patients

Locations

1100 E Church St
Martinsville, VA 24112
Phone (276) 638-2354

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

315 Hospital Dr
Ste 105
Martinsville, VA 24112
Phone (276) 201-9506

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1033170659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-666-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101-053359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033170659",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.