Individual provider Active NPI

Karl Richard Casseus, DC

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1447849617
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013415 Issued in NY
Practice address
1796 Clinton St
Buffalo, NY 14206-3126
Phone
(845) 269-8686
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013415 NY Primary

Addresses

Primary practice location

1796 Clinton St
Buffalo, NY 14206-3126

Mailing address

1125 George Urban Blvd Apt 6-3
Cheektowaga, NY 14225-3877
Phone (845) 269-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208002774 NY Practitioner - Chiropractic 2264847078 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1796 Clinton St
Buffalo, NY 14206-3126
Phone (716) 826-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013415NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Chiropractor CurrentSince Mar 10, 2025 Accepting new patients
Northeast College of Health Sciences Chiropractor CurrentSince Mar 10, 2025 Accepting new patients

Locations

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1447849617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GEORGE URBAN BLVD APT 6-3",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253877",
            "telephone_number": "845-269-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 CLINTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142063126",
            "telephone_number": "845-269-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSEUS",
        "first_name": "KARL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.