Active NPI
Benjamin E Kassanoff, M.D.
- Vascular & Interventional Radiology Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- DR.0044004
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (303) 761-9190
- Fax
- (720) 874-4462
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | J2121 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | MD17552 | HI | |
| Diagnostic Radiology Physician | 2085R0202X | 25137 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 04-36295 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | 44004 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | DR.0044004 | CO | Primary |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025709000 | Medicaid | NE | |
| 1356345680 | Medicaid | CA | |
| 1356345680 | Medicaid | MT | |
| 1356345680 | Medicaid | WY | |
| 91031087 | Medicaid | NM | |
| 100160560A | Medicaid | OK | |
| 41522257 | Medicaid | CO | |
| 84059792913 | Medicaid | NE | |
| 1356345680 | Medicaid | NV | |
| 200360190A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10700 E Geddes Ave
Suite 200
Englewood, CO 80112-3861
Phone (303) 761-9190
10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190
1400 S Potomac St
Aurora, CO 80012-5411
Phone (720) 493-3388
1900 Boise Ave
Suite 110
Loveland, CO 80538-5004
Phone (970) 810-6070
201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-5811
2525 S Downing St
Portercare Hospital
Denver, CO 80210-5817
Phone (303) 778-5626
2555 E 13TH St
Suite 100
Loveland, CO 80537-5134
Phone (970) 810-6070
501 E Hampden Ave
110 Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 788-6080
8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251
Hospital & facility affiliations
- Adventhealth Castle Rock
- AdventHealth Parker
- The Medical Center of Aurora & South Hospital
- Sky Ridge Medical Center
- HCA-Healthone Dba Swedish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.7 of 100
- Quality
- 65.53
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.45 of 100
- Quality
- 58.19
- Improvement activities
- 40
- Cost
- 52.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 58.12
- Improvement activities
- 40
- Cost
- 68.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17552 | HI | MD | Diagnostic Radiology Physician |
| 04-36295 | KS | MD | Diagnostic Radiology Physician |
| J2121 | TX | MD | Diagnostic Radiology Physician |
| DR.0044004 | CO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodge City Diagnostic, LLC | Current | Accepting new patients | |
| Banner Imaging Services Colorado LLC | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services Colorado LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hawaii Radiologic Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Ria Endovascular, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Diagnostic Radiology | Current | Accepting new patients |
| Gunnison Valley Hospital | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Consultants of North Dallas PA | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 49)
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603
1400 S Potomac St
Ste 180B
Aurora, CO 80012
9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700
2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490
14200 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 699-3000
10700 E Geddes Ave
Ste 200
Englewood, CO 80112
10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190
701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
401 W Hampden Pl
Ste 40
Englewood, CO 80110
499 E Hampden Ave
Ste 380
Englewood, CO 80113
Phone (303) 788-5300
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
702 W Drake Rd
Ste A
Fort Collins, CO 80526
Phone (970) 229-4600
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
400 Indiana St
Ste 100
Golden, CO 80401
Phone (720) 420-3000
400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411
2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 810-6353
5890 W 13th St
Ste 101
Greeley, CO 80634
Phone (970) 348-0020
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
8200 E Belleview Ave
Ste 124
Greenwood Village, CO 80111
Phone (303) 741-1501
8200 E Belleview Ave
Ste 600E
Greenwood Village, CO 80111
Phone (720) 493-3406
8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200
Organizations & group practices 14
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.
-
- Diagnostic Radiology Physician
- Loveland, CO
- NPI 1326674979
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- Diagnostic Radiology Physician
- Greenwood Village, CO
- NPI 1558301077
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Radiology Clinic/Center
- Colorado Springs, CO
- NPI 1205531332
Diagnostic Radiology
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1659106151
-
- Specialist
- Dodge City, KS
- NPI 1689699613
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
-
- General Acute Care Hospital
- Lone Tree, CO
- NPI 1659325629
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1659327013
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1720666142
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1801474226
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1437713856
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1336868017
-
- General Acute Care Hospital
- Centennial, CO
- NPI 1396323721
-
- General Acute Care Hospital
- Centennial, CO
- NPI 1407577315
-
- Psychiatric Hospital
- Aurora, CO
- NPI 1437795424
-
- General Acute Care Hospital
- Denver, CO
- NPI 1528604808
-
- General Acute Care Hospital
- Centennial, CO
- NPI 1609412980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1356345680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 E GEDDES AVE STE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123895",
"telephone_number": "303-761-9190",
"fax_number": "720-874-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "303-761-9190",
"fax_number": "720-874-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSANOFF",
"first_name": "BENJAMIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J2121",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD17552",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "25137",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-36295",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "44004",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "DR.0044004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709000",
"state": "NE"
},
{
"code": "05",
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"issuer": null,
"identifier": "1356345680",
"state": "CA"
},
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"issuer": null,
"identifier": "1356345680",
"state": "MT"
},
{
"code": "05",
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"issuer": null,
"identifier": "1356345680",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91031087",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100160560A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41522257",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84059792913",
"state": "NE"
},
{
"code": "05",
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"issuer": null,
"identifier": "1356345680",
"state": "NV"
},
{
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"issuer": null,
"identifier": "200360190A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.