Individual provider Active NPI

David V Kassen, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1427028323
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31204 Issued in AZ
Practice address
9201 E Mountain View Rd
Suite 137
Scottsdale, AZ 85258-5199
Phone
(480) 614-8555
Fax
(480) 614-8666
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31204 AZ Primary
Diagnostic Radiology Physician 2085R0202X C51355 CA
Diagnostic Radiology Physician 2085R0202X ME111896 FL

Addresses

Primary practice location

9201 E Mountain View Rd
Suite 137
Scottsdale, AZ 85258-5199

Mailing address

PO Box 7368
Orange, CA 92863-7368
Phone (714) 571-5000

Other identifiers 2

IdentifierTypeStateIssuer
803462MedicaidAZ
P00407072OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MN2 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
I20040405001374 AZ Practitioner - Diagnostic Radiology 3173427820 Reassigns benefits to 3 organizations
I20230710002519 MN Practitioner - Diagnostic Radiology 3173427820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51355CAMDDiagnostic Radiology Physician
51355CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Professional Medical Imaging LLC PastSince Apr 1, 2015 Accepting new patients
Paradise Valley Family Medicine, PC PastSince Jan 1, 2001 Accepting new patients
Medical Imaging Physicians, L.L.P. Diagnostic Radiology PastSince Dec 18, 2002 Accepting new patients
Simonmed Imaging a Professional Corporation Diagnostic Radiology PastSince Dec 15, 2010 Accepting new patients
Siouxland Radiology Partners Diagnostic Radiology Past Accepting new patients
Desert Valley Radiology, PLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 65)

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

725 S Dobson Rd
Ste 105B
Chandler, AZ 85224
Phone (480) 786-2850

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

5410 W Thunderbird Rd
Ste 210
Glendale, AZ 85306
Phone (602) 535-5210

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

13657 W McDowell Rd
Ste 207
Goodyear, AZ 85395
Phone (602) 815-5358

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

1457 W Southern Ave
Ste 26
Mesa, AZ 85202
Phone (480) 827-2237

1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

20830 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 306-7900

4616 N 51st Ave
Ste 104
Phoenix, AZ 85031
Phone (623) 251-2800

5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 9

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1427028323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 137",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585199",
            "telephone_number": "480-614-8555",
            "fax_number": "480-614-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEN",
        "first_name": "DAVID",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "31204",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C51355",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME111896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803462",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00407072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.