Active NPI
Rob Kassan, MD
- Family Medicine Physician
- Bend, OR
National Provider Identifier
1487681417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD209589
- Practice address
- 1105 SE Centennial St
Bend, OR 97702-1343 - Phone
- (541) 241-6471
- NPI assigned
- Jun 26, 2006
- Last updated
- May 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD209589 | OR | Primary |
| Family Medicine Physician | 207Q00000X | G67840 | CA |
Addresses
Primary practice location
1105 SE Centennial St
Bend, OR 97702-1343
Mailing address
445 Nutcracker Dr
Redmond, OR 97756-7329
Phone (310) 650-7813
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Irvine, California College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1105 SE Centennial St
Bend, OR 97702-1343
Phone (541) 241-6471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67840 | CA | MD | Pharmacist |
| G67840 | CA | MD | Family Medicine Physician |
| MD209589 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rob M Kassan M D LLC | Current | Accepting new patients | |
| Santa Monica Bay Area Physicians | Family Medicine | Past | Accepting new patients |
Locations
1105 SE Centennial St
Bend, OR 97702
Phone (541) 209-6729
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.
-
- Primary Care Clinic/Center
- Bend, OR
- NPI 1740073741
-
dba Santa Monica Bay Physicians
- Family Medicine Physician
- Culver City, CA
- NPI 1770608432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1487681417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 NUTCRACKER DR",
"city": "REDMOND",
"state": "OR",
"postal_code": "977567329",
"telephone_number": "310-650-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 SE CENTENNIAL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977021343",
"telephone_number": "541-241-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSAN",
"first_name": "ROB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD209589",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G67840",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.