Active NPI
Brett James Cassidy, MD
- Obstetrics & Gynecology Physician
- Yorkville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Practice address
- 654 W Veterans Parkway
Suite a
Yorkville, IL 60560 - Phone
- (630) 553-3588
- Fax
- (630) 553-3525
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
654 W Veterans Parkway
Suite a
Yorkville, IL 60560
Mailing address
2934 Old Glory Dr
Yorkville, IL 60560-4620
Phone (630) 385-2325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Obstetrics/Gynecology
- Education
- Emory University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
1614 E Norris Dr
OBGYN and Anti Coag
Ottawa, IL 61350-3681
Phone (815) 431-0435
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
920 W St
Peru, IL 61354-2763
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036102977 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Valley Vein Centers, P.C. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
920 West St
Ste 100
Peru, IL 61354
Phone (815) 431-0435
24023 W Lockport St
Ste 101
Plainfield, IL 60544
Phone (815) 577-2840
831 Sandhurst Dr
Sandwich, IL 60548
Phone (815) 786-1088
654 W Veterans Pkwy
Ste A
Yorkville, IL 60560
Phone (630) 533-3588
Interoperability endpoints
- brett.cassidy.1@13826.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Clinic/Center
- Sandwich, IL
- NPI 1114155983
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1598503922
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649256975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 OLD GLORY DR",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605604620",
"telephone_number": "630-385-2325",
"fax_number": "630-553-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 W VETERANS PARKWAY",
"address_2": "SUITE A",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "60560",
"telephone_number": "630-553-3588",
"fax_number": "630-553-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "BRETT",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.