Kara M Kassay, MD, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

21729 Issued in OR

Legal business name

KARA M KASSAY, MD, PC

Practice address

12511 SW 68TH Ave Ste 200
Portland, OR 97223-8298

Phone

(503) 675-1137

Fax

(503) 534-1137

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kara M Kassay, MD

Title

President

Phone

(503) 675-1137

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda S Gay, M.D.

  • Family Medicine Physician
  • Portland, OR
  • NPI 1912937723
  NPD
• Lucinda Ann Ballas, ANP

  • Adult Health Nurse Practitioner
  • Lake Oswego, OR
  • NPI 1245396720
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1700073350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 SW 68TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238298",
            "telephone_number": "503-675-1137",
            "fax_number": "503-534-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 SW 68TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238298",
            "telephone_number": "503-675-1137",
            "fax_number": "503-534-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA M KASSAY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "KASSAY",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-675-1137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "21729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288213",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joji Kappes, M.D.
• Kyndra Kappesser
• Danylle Oldis Kappler, M.D.
• Dorian Kappler
• Marybeth Michelle Kapsch
• Deniz Kara, MD
• Jonathan Edward Karademos, M.D.
• Jan Kyoko Karadimas, PSYD
• Anastasiia Karadzha, MD
• Gary Karagodsky, PHARMD

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.