Michael Andrew Casares, M.D.
Individual provider Active NPI Emergency Medicine Physician · Massena, NY
NPI 1548366362 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1548366362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 234844-1 (NY)
- Practice address
- 1 Hospital Dr
Massena, NY 13662-1056 - Phone
- (315) 769-3790
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Group
Can Emergency Physicians Medical Group Inc
Practice addresses (Care Compare)
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 997-2121
Hospital & facility affiliations
- Pih Health Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111121000204 | CA | Practitioner - Emergency Medicine | 7012190531 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234844-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Emergency Physicians Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Can Emergency Physicians Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Can Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Intercommunity Emergency Medical Group | Emergency Medicine | Current |
Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current |
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
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 234844-1 | NY | Yes |
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
Other providers in Massena, NY
- Max Tyler Buscaglia
- Byung S. Lim , MD, PC
- Gina Caldwell
- Can/Am Youth Services, Inc.
- Luis Ivan Canales
- Cassandra Marie Casey I
- Megan Eileen Casey
- Patrick M. Casey
- Christine Cecot
- Sangita Chadha
All providers in Massena, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.