Robert John Casquejo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4217 Issued in AZ

Practice address

10900 N Scottsdale Rd
Ste 506
Scottsdale, AZ 85254-5236

Phone

(480) 596-1110

Fax

(480) 596-9969

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Dermatology Care PLLCGroup PAC ID 6709040256, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Associates in Dermatology Care, PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1093081879
  Medicare reassignment Care Compare group
• Scottsdale Dermatology, LTD

  • Specialist
  • Scottsdale, AZ
  • NPI 1174635031
  NPD (past)
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1043317050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546169",
            "telephone_number": "480-596-1110",
            "fax_number": "480-596-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD",
            "address_2": "STE 506",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545236",
            "telephone_number": "480-596-1110",
            "fax_number": "480-596-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASQUEJO",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003745",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428241",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deveny Casillas
• Bryson Dean Caskey, MD
• Casmin Hearing Group, LLC
• Isabelle Caspari, PH.D.
• Whitney Alyssa Casper, AUD
• Charlene B Cassar, RN
• David Jason Cassat, M.D.
• Erica Leigh Casselman, PAC
• Amy Elizabeth Cassidy, ACNP-C
• Dustin Michael Castania

• Medical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.

Verify at the official NPI Registry.