Active NPI
Craig R Cassidy, DO
- Ophthalmology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1769
- Practice address
- 160 W University
Suite 1
Mesa, AZ 85201 - Phone
- (480) 833-0014
- Fax
- (480) 835-6821
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1769 | AZ | Primary |
Addresses
Primary practice location
160 W University
Suite 1
Mesa, AZ 85201
Mailing address
160 W University
Suite 1
Mesa, AZ 85201
Phone (480) 833-0014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237314 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 81.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Current | Accepting new patients |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients |
Locations
5620 W Thunderbird Rd
Ste C5
Glendale, AZ 85306
Phone (602) 274-4992
160 W University Dr
Ste 1
Mesa, AZ 85201
Phone (480) 833-0014
4800 N 22nd St
Ste 120
Phoenix, AZ 85016
2125 W Indian School Rd
Phoenix, AZ 85015
Phone (602) 274-4992
9849 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 583-2020
Interoperability endpoints
- craig.cassidy.p11@direct.avp.nextgenshare.com
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1376574707
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1043910078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1063480119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 W UNIVERSITY",
"address_2": "SUITE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-833-0014",
"fax_number": "480-835-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 W UNIVERSITY",
"address_2": "SUITE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-833-0014",
"fax_number": "480-835-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "CRAIG",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "1769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "237314",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.