Individual provider Active NPI

Renee Lynn Kassir, DO

  • Hospitalist Physician
  • Springdale, AR
National Provider Identifier
1336375674
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-7397 Issued in AR
Practice address
609 W Maple Ave
Springdale, AR 72764-5335
Phone
(479) 751-5711
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8374 TX
Hospitalist Physician 208M00000X E-7397 AR Primary
Family Medicine Physician 207Q00000X E-7397 AR
Hospitalist Physician 208M00000X P8374 TX

Addresses

Primary practice location

609 W Maple Ave
Springdale, AR 72764-5335

Mailing address

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 751-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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
I20120612000638 AR Practitioner - HospitalistPractitioner - Family Practice 0547424095 Reassigns benefits to 4 organizations
I20141022001228 TX Practitioner - Family Practice 0547424095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Mid West Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-7397ARMDHospitalist Physician
P8374TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springdale- Bentonville HBP Services, LLC Hospitalist CurrentSince May 3, 2024 Accepting new patients
Ies HSP Arkansas PLLC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Jul 23, 2012 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 1, 2014 Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Melloy Concierge and Aesthetics Medical Group Family Medicine CurrentSince Feb 3, 2024 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

200 S 20th St
Ste C
Rogers, AR 72758
Phone (479) 278-7010

4313 S Pleasant Crossing Blvd
Rogers, AR 72758
Phone (479) 341-4003

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

20 Burton Hills Blvd
Ste 100
Nashville, TN 37215
Phone (860) 501-7908

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

66 Gruene Park Dr
Ste 210
New Braunfels, TX 78130
Phone (830) 730-4375

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1336375674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-751-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-751-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIR",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8374",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-7397",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7397",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P8374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.