Active NPI
Brian Joseph Kassa
- Physical Medicine & Rehabilitation Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 58.031112
- Practice address
- 1044 Belmont Ave # Meded2S
Youngstown, OH 44504-1006 - Phone
- (330) 480-2994
- NPI assigned
- May 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.031112 | OH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 58.031112 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave # Meded2S
Youngstown, OH 44504-1006
Mailing address
1100 Boardman Canfield Rd Apt 74C
Boardman, OH 44512-8054
Phone (248) 860-8662
Other practice location 1
4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone (877) 581-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Lake Erie Col of Osteo Med at Seton Hill Univ, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200
Hospital & facility affiliations
- McLaren Port Huron
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.031112 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Past | Accepting new patients |
Locations
7684 Solutions Ctr
#777684
Chicago, IL 60677
36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200
14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200
36622 5 Mile Rd
#101
Livonia, MI 48154
36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791
600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711
35735 Mound Rd
Sterling Heights, MI 48310
Phone (586) 261-1960
35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960
5107 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477
500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258
Interoperability endpoints
- bkassa815201@direct.hfhs.org
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Sterling Heights, MI
- NPI 1720395205
-
- Interventional Pain Medicine Physician
- Warren, MI
- NPI 1700239415
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
-
- Durable Medical Equipment & Medical Supplies
- Sterling Heights, MI
- NPI 1124336326
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1417513367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BOARDMAN CANFIELD RD APT 74C",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445128054",
"telephone_number": "248-860-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE # MEDED2S",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-2994"
}
],
"practiceLocations": [
{
"address_1": "4200 Regent St Ste 200",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432196229",
"country_code": "US",
"telephone_number": "877-581-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASSA",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "58.031112",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "58.031112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.