Individual provider Active NPI

Rodney L. Cassens, MD

  • Family Medicine Physician
  • Sioux City, IA
National Provider Identifier
1063455053
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28224 Issued in IA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09874OtherIAWELLMARK BCBS IA
4064345MedicaidIA
1792OtherIAMIDLANDS CHOICE - BUSINES
7713090MedicaidIA
1064345MedicaidIA
10025201600MedicaidIA
38306OtherIAWELLMARK - BUSINESS HEALT
42128384924MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402001481 IA Practitioner - Family Practice 0749273142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Services Current Accepting new patients

Locations

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

Interoperability endpoints

  • Direct secure messaging: 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

Sources for this page

Verify at the official NPI Registry.