Individual provider Active NPI

Benjamin E Kassanoff, M.D.

  • Vascular & Interventional Radiology Physician
  • Englewood, CO
National Provider Identifier
1356345680
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0044004 Issued in CO
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

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025709000MedicaidNE
1356345680MedicaidCA
1356345680MedicaidMT
1356345680MedicaidWY
91031087MedicaidNM
100160560AMedicaidOK
41522257MedicaidCO
84059792913MedicaidNE
1356345680MedicaidNV
200360190AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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
I20051028000858 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4587577069 Reassigns benefits to 7 organizations
I20130827000178 KS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4587577069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ria Endovascular LLCGroup PAC ID 5597709717, 30 clinicians
Hawaii Radiologic Associates LTDGroup PAC ID 0941190953, 91 clinicians
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
Banner Imaging Services Colorado LLCGroup PAC ID 7416377270, 90 clinicians

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 Hospital, Castle Rock, CO, CCN 060125
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
66.45 of 100Reported as group
Quality
58.19
Improvement activities
40
Cost
52.87

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
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

LicenseStateTypeSpecialty
MD17552HIMDDiagnostic Radiology Physician
04-36295KSMDDiagnostic Radiology Physician
J2121TXMDDiagnostic Radiology Physician
DR.0044004COMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Ria Endovascular, LLC Diagnostic Radiology CurrentSince Jun 1, 2008 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Nov 1, 2005 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.

View all 14

Hospital & facility affiliations 20

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

View all 20

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": [
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        },
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        },
        {
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            "taxonomy_group": "",
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        },
        {
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            "primary": false
        },
        {
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    "identifiers": [
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.