Active NPI
Michael J. Casey, M.D.
- Surgery Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD60484880
- Practice address
- 1707 W Charleston Blvd
#160
Las Vegas, NV 89102-2351 - Phone
- (702) 671-5150
- Fax
- (702) 384-6493
- NPI assigned
- Jun 8, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 12333 | NV | |
| Surgery Physician | 208600000X | MD60484880 | WA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 12333 | NV | |
| Surgery Physician | 208600000X | 12333 | NV |
Addresses
Primary practice location
1707 W Charleston Blvd
#160
Las Vegas, NV 89102-2351
Mailing address
1701 W Charleston Blvd
#215
Las Vegas, NV 89102-2325
Phone (702) 671-2395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12333 | Other | NV | MEDICAL LICENSE |
| CS14261 | Other | NV | PHARMACY CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- General Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 NE 87TH Ave
Vancouver, WA 98664-1965
8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
- Peacehealth St John Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12333 | NV | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Peacehealth | Family Medicine | Current | Accepting new patients |
| Peacehealth | Surgery | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
Interoperability endpoints
- mcasey62819@direct.peacehealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1063711562
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Physical Therapist
- Longview, WA
- NPI 1275501538
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689615262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "#215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-671-2395",
"fax_number": "702-382-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 W CHARLESTON BLVD",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022351",
"telephone_number": "702-671-5150",
"fax_number": "702-384-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2023-03-07",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NV",
"license": "12333",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60484880",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NV",
"license": "12333",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "12333",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12333",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY CERTIFICATE",
"identifier": "CS14261",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.