Active NPI
Rodney L. Cassens, MD
- Family Medicine Physician
- Sioux City, IA
National Provider Identifier
1063455053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28224
- Practice address
- 3500 Singing Hills Blvd
Ste 100
Sioux City, IA 51106-5127 - Phone
- (712) 274-4250
- Fax
- (712) 274-4260
- NPI assigned
- Jun 14, 2006
- Last updated
- Oct 17, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28224 | IA | Primary |
Addresses
Primary practice location
3500 Singing Hills Blvd
Ste 100
Sioux City, IA 51106-5127
Mailing address
PO Box 328
Sioux City, IA 51102-0328
Phone (712) 279-5830
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09874 | Other | IA | WELLMARK BCBS IA |
| 4064345 | Medicaid | IA | |
| 1792 | Other | IA | MIDLANDS CHOICE - BUSINES |
| 7713090 | Medicaid | IA | |
| 1064345 | Medicaid | IA | |
| 10025201600 | Medicaid | IA | |
| 38306 | Other | IA | WELLMARK - BUSINESS HEALT |
| 42128384924 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040402001481 | IA | Practitioner - Family Practice | 0749273142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Services | Current | Accepting new patients |
Locations
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
Interoperability endpoints
- rodney.cassens.p20@direct.trinity-healthiowa.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1063455053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511020328",
"telephone_number": "712-279-5830",
"fax_number": "712-279-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SINGING HILLS BLVD",
"address_2": "STE 100",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511065127",
"telephone_number": "712-274-4250",
"fax_number": "712-274-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSENS",
"first_name": "RODNEY",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "28224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS IA",
"identifier": "09874",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4064345",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE - BUSINES",
"identifier": "1792",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7713090",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1064345",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025201600",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK - BUSINESS HEALT",
"identifier": "38306",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42128384924",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
- Cassidy Alana Carr, PMHNP-BC
- Thomas Carroll, D.O.
- Thomas Joseph Carroll Jr., M.D.
- Deborah Carter, CRNA
- Pam Cassens, RN
- Diana Castro-Moctezuma, LMHC, IADC
- Catholic Charities of the Diocese of Sioux City (Catholic Charities)
- Center for Human Development, Inc
- Charles H. Kiple D.D.S., P.C. (Morningside Dental)
- Sean Everette Chartier, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.