Individual provider Active NPI

Daniel A Cusati, M.D.

  • Surgery Physician
  • Springfield, OR
National Provider Identifier
1134210370
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD153434 Issued in OR
Practice address
Peacehealth Surgical Specialties
3355 Riverbend Dr., Suite 300
Springfield, OR 97477-8803
Phone
(541) 222-8333
Fax
(541) 222-8320
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD153434 OR Primary

Addresses

Primary practice location

Peacehealth Surgical Specialties
3355 Riverbend Dr., Suite 300
Springfield, OR 97477-8803

Mailing address

Peacehealth Surgical Specialties
3355 Riverbend Dr., Suite 300
Springfield, OR 97477-8803
Phone (541) 222-8333

Other practice location 1

3377 Riverbend Dr Ste 230
Springfield, OR 97477-8806
Phone (541) 222-2700

Other identifiers 1

IdentifierTypeStateIssuer
500634391MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20110520000248 OR Practitioner - General Surgery 3678570710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone (541) 222-2402

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Peacehealth Cottage Grove Community Medical Center Hospital, Cottage Grove, OR, CCN 381301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD153434ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Surgery CurrentSince Nov 18, 2022 Accepting new patients
Peacehealth Medical Group Surgery CurrentSince Jul 29, 2023 Accepting new patients
Peacehealth Past Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3355 Riverbend Dr
Ste 400
Springfield, OR 97477
Phone (541) 222-2402

3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

Interoperability endpoints

  • Direct secure messaging: dcusati12774@direct.peacehealth.org
  • Direct secure messaging: dcusatio@yourcarecommunity.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1134210370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEACEHEALTH SURGICAL SPECIALTIES",
            "address_2": "3355 RIVERBEND DR., SUITE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778803",
            "telephone_number": "541-222-8333",
            "fax_number": "541-222-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEACEHEALTH SURGICAL SPECIALTIES",
            "address_2": "3355 RIVERBEND DR., SUITE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778803",
            "telephone_number": "541-222-8333",
            "fax_number": "541-222-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Riverbend Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778806",
            "country_code": "US",
            "telephone_number": "541-222-2700",
            "fax_number": "541-222-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSATI",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-02-23",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD153434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500634391",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.