Individual provider Active NPI

Adam Cassis, MD

  • Otology & Neurotology Physician
  • Chandler, AZ
National Provider Identifier
1407052236
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
58576 Issued in AZ
Practice address
225 S Dobson Rd
Chandler, AZ 85224-6274
Phone
(480) 558-5306
Fax
(480) 558-5307
NPI assigned
Jun 27, 2007
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A116616 CA
Otolaryngology Physician 207Y00000X 23189 WV
Otology & Neurotology Physician 207YX0901X 58576 AZ Primary

Addresses

Primary practice location

225 S Dobson Rd
Chandler, AZ 85224-6274

Mailing address

9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 85260-6280
Phone (480) 273-8510

Other identifiers 1

IdentifierTypeStateIssuer
552706MedicaidAZ

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
I20191203000423 AZ Practitioner - OtolaryngologyPractitioner - Other (Physician) 0345482287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

225 S Dobson Rd
Chandler, AZ 85224-6274
Phone (480) 558-5306

9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193

926 E McDowell Rd
Phoenix, AZ 85006-2508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116616CAMDOtolaryngology Physician
23189WVMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Fucci MD, PC PastSince Oct 1, 2019 Accepting new patients
Northern Arizona Ear Nose and Throat PC Otolaryngology PastSince Sep 1, 2001 Accepting new patients
Valley ENT, PC Otolaryngology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adam.cassis@1028.chartlogic.direct-ci.com

Organizations & group practices 4

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 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1407052236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606280",
            "telephone_number": "480-273-8510",
            "fax_number": "480-214-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246274",
            "telephone_number": "480-558-5306",
            "fax_number": "480-558-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIS",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A116616",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "23189",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "AZ",
            "license": "58576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552706",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.