Individual provider Active NPI

Michael Andrew Casares, M.D.

  • Emergency Medicine Physician
  • Massena, NY
National Provider Identifier
1548366362
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
234844-1 Issued in NY
Practice address
1 Hospital Dr
Massena, NY 13662-1056
Phone
(315) 769-3790
NPI assigned
Sep 16, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 234844-1 NY Primary

Addresses

Primary practice location

1 Hospital Dr
Massena, NY 13662-1056

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111121000204 CA Practitioner - Emergency Medicine 7012190531 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercommunity Emergency Medical GroupGroup PAC ID 7911892534, 60 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 997-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234844-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Intercommunity Emergency Medical Group Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Nov 3, 2011 Accepting new patients

Locations

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1548366362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621056",
            "telephone_number": "315-769-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASARES",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "234844-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.