NPIMap

Individual provider Active NPI

Stuart S Kassan, MD

  • Rheumatology Physician
  • Denver, CO
National Provider Identifier
1093706475
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
21547 Issued in CO
Practice address
1400 Jackson St
Denver, CO 80206-2762
Phone
(303) 388-4461
Fax
(303) 398-1211
NPI assigned
Nov 3, 2005
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 21547 CO Primary

Addresses

Primary practice location

1400 Jackson St
Denver, CO 80206-2762

Mailing address

1400 Jackson St
Denver, CO 80206-2762
Phone (303) 388-4461

Other practice location 1

198 Union Blvd
Suite 150
Lakewood, CO 80228-2259
Phone (303) 892-6033

Other identifiers 1

IdentifierTypeStateIssuer
01215474MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000218 CO Practitioner - Rheumatology 7911890595 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
George Washington University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Practice addresses (Care Compare)

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

1400 Jackson St
Denver, CO 80206-2762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21547COMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vivo Infusion Colorado, LLC CurrentSince Sep 15, 2023 Accepting new patients
National Jewish Health CurrentSince Jan 1, 2023 Accepting new patients
Vivo Infusion Colorado, LLC CurrentSince Sep 15, 2023 Accepting new patients
Infusion Center of Denver, LLC Rheumatology CurrentSince Aug 1, 2009 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2007 Accepting new patients
Vivo Infusion Colorado, LLC CurrentSince May 15, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2007 Accepting new patients

Locations

2425 Canyon Blvd
Ste F
Boulder, CO 80302

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

1402 S Parker Rd
Ste A104
Denver, CO 80231

777 Bannock St
Denver, CO 80204

198 Union Blvd
Ste 100
Lakewood, CO 80228
Phone (303) 980-5676

3013 W 104th Ave
Unit 300
Westminster, CO 80031
Phone (720) 292-1184

Organizations & group practices 7

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.

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1093706475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062762",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062762",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Union Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282259",
            "country_code": "US",
            "telephone_number": "303-892-6033",
            "fax_number": "303-573-6929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAN",
        "first_name": "STUART",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "21547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01215474",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.