Individual provider Active NPI

Andrew A Kassir, M.D.

  • Colon & Rectal Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1245222769
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
22649 Issued in AZ
Practice address
8415 N Pima Rd
Suite 288
Scottsdale, AZ 85258-4480
Phone
(480) 947-3533
Fax
(480) 947-3531
NPI assigned
Aug 19, 2005
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 22649 AZ Primary

Addresses

Primary practice location

8415 N Pima Rd
Suite 288
Scottsdale, AZ 85258-4480

Mailing address

8415 N Pima Rd
Suite 288
Scottsdale, AZ 85258-4480
Phone (480) 947-3533

Other identifiers 3

IdentifierTypeStateIssuer
1Z5739OtherAZHEALTHNET
5867749OtherAZAETNA
AZ0710320OtherAZBLUE CROSSBLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000247 AZ Practitioner - Colorectal Surgery (Proctology) 2961471560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians
Colon and Rectal Clinic of ScottsdaleGroup PAC ID 0446229199, 2 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

8415 N Pima Rd
Scottsdale, AZ 85258-4488
Phone (480) 947-3533

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
City of Hope Medical Group of Arizona LLC Surgery CurrentSince Apr 1, 2021 Accepting new patients
Colon & Rectal Clinic of Scottsdale CurrentSince Jun 1, 2001 Accepting new patients
District Medical Group, Inc Surgery Past Accepting new patients
Arizona Colorectal Surgery PLLC Colon & Rectal Surgery Past Accepting new patients
Honorhealth PastSince Jan 1, 2020 Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3501 N Scottsdale Rd
Ste 222
Scottsdale, AZ 85251
Phone (480) 947-3533

8415 N Pima Rd
Ste 288
Scottsdale, AZ 85258
Phone (480) 947-3533

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: akassir145268@cityofhope.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Honorhealth Scottsdale Shea Medical CenterScottsdale, AZ, CCN 030087 Hospital Corporate Director Jan 1, 2020
Honorhealth Scottsdale Osborn Medical CenterScottsdale, AZ, CCN 03T038 Hospital Corporate Director Jan 1, 2020
Honorhealth Scottsdale Osborn Medical CenterScottsdale, AZ, CCN 030038 Hospital Corporate Director Jan 1, 2020
Honorhealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ, CCN 030123 Hospital Corporate Director Jan 1, 2020
Honorhealth John C. Lincoln Medical CenterPhoenix, AZ, CCN 030014 Hospital Corporate Director Jan 1, 2020
Honorhealth Deer Valley Medical CenterPhoenix, AZ, CCN 030092 Hospital Corporate Director Jan 1, 2020
Honorhealth Sonoran Crossing Medical CenterPhoenix, AZ, CCN 030146 Hospital Corporate Director Sep 23, 2020
Honorhealth Tempe Medical CenterTempe, AZ, CCN 030037 Hospital Corporate Director Oct 3, 2024
Honorhealth Four Peaks Medical CenterMesa, AZ, CCN 030121 Hospital Corporate Director Oct 3, 2024
Honorhealth Four Peaks Medical CenterMesa, AZ, CCN 03S121 Hospital Corporate Director Oct 3, 2024
Honorhealth Home HealthScottsdale, AZ, CCN 037024 Home health agency Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 8

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 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1245222769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "SUITE 288",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-947-3533",
            "fax_number": "480-947-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "SUITE 288",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-947-3533",
            "fax_number": "480-947-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIR",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "22649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z5739",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5867749",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "AZ0710320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.