Individual provider Active NPI

Sidney L I Cassell, MD

  • Rheumatology Physician
  • Eugene, OR
National Provider Identifier
1376614107
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD11360 Issued in OR
Practice address
132 E Broadway
Suite 830
Eugene, OR 97401-3160
Phone
(541) 687-0816
Fax
(541) 687-1086
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD11360 OR Primary

Addresses

Primary practice location

132 E Broadway
Suite 830
Eugene, OR 97401-3160

Mailing address

132 E Broadway
Suite 830
Eugene, OR 97401-3160
Phone (541) 687-0816

Other identifiers 1

IdentifierTypeStateIssuer
005785MedicaidOR

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
I20100813000198 OR Practitioner - Rheumatology 6002803285 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11360ORMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Cassell & Boren PC Rheumatology CurrentSince Jan 24, 2000 Accepting new patients

Locations

132 E Broadway
Ste 830
Eugene, OR 97401
Phone (541) 687-0816

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1376614107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY",
            "address_2": "SUITE 830",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013160",
            "telephone_number": "541-687-0816",
            "fax_number": "541-687-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY",
            "address_2": "SUITE 830",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013160",
            "telephone_number": "541-687-0816",
            "fax_number": "541-687-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELL",
        "first_name": "SIDNEY",
        "middle_name": "L I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD11360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005785",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.