Individual provider Active NPI

Ari David Amitai, MD

  • Orthopaedic Surgery Physician
  • Casper, WY
National Provider Identifier
1104230374
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12630A Issued in WY
Practice address
4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone
(307) 265-7205
Fax
(307) 235-6262
NPI assigned
Jun 16, 2014
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X FE167365 OR
Orthopaedic Surgery Physician 207X00000X MD61448004 WA
Orthopaedic Surgery Physician 207X00000X 10391490-1205 UT
Orthopaedic Surgery Physician 207X00000X 12630A WY Primary
Pediatric Orthopaedic Surgery Physician 207XP3100X FE167365 OR

Addresses

Primary practice location

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265

Mailing address

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone (307) 265-7205

Other identifiers 1

IdentifierTypeStateIssuer
FE167365OtherORLICENSE

Other names 1

  • Ari David Perlstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200326002542 WY Practitioner - Orthopedic Surgery 4688969462 Reassigns benefits to 1 organization
I20240628002559 WA Practitioner - Orthopedic Surgery 4688969462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Orthopaedic Associates PCGroup PAC ID 9436148624, 30 clinicians

Practice addresses (Care Compare)

4140 Centennial Hills Blvd
Suite a
Casper, WY 82609-3265
Phone (307) 265-7205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10391490-1205UTMDOrthopaedic Surgery Physician
12630AWYMDOrthopaedic Surgery Physician
FE167365ORMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Surgical Specialists, P.C. Orthopaedic Surgery CurrentSince Jun 1, 2024 Accepting new patients
Northwest Surgical Specialists PC CurrentSince Jun 1, 2024 Accepting new patients
Casper Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Jan 31, 2020 Accepting new patients
Casper Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Jan 31, 2020 Accepting new patients

Locations

200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990

200 NE Mother Joseph Pl
Ste 110
Vancouver, WA 98664
Phone (360) 256-8584

200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

Interoperability endpoints

  • Direct secure messaging: ari.amitaimd.p1@direct.reboundmd.nextgenshare.com
  • Direct secure messaging: ariamitai@casperorth.allscriptsdirect.net

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1104230374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMITAI",
        "first_name": "ARI",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "FE167365",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD61448004",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "10391490-1205",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "12630A",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OR",
            "license": "FE167365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "FE167365",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARI",
            "last_name": "PERLSTEIN",
            "middle_name": "DAVID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.