Active NPI
Charles T Cassel, MD
- Orthopaedic Surgery Physician
- Bettendorf, IA
National Provider Identifier
1710965017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22728
- Practice address
- 2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564 - Phone
- (563) 322-0971
- Fax
- (563) 324-0615
- NPI assigned
- Jan 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 22728 | IA | Primary |
Addresses
Primary practice location
2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564
Mailing address
2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564
Phone (563) 322-0971
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19797 | Other | IA HEALTH SOLUTIONS | |
| 58095 | Other | IA | WELLMARK |
| 1602919 | Other | FIRST HEALTH | |
| 8121085 | Other | IL | BCBS |
| 0038505 | Medicaid | IA | |
| 18577 | Other | MIDLANDS CHOICE | |
| 200029105 | Other | RR MEDICARE | |
| IA0143 | Other | IA | JOHN DEERE FAMILY |
| T80726 | Other | IA | JOHN DEERE FAMILY |
| 041067 | Other | HEALTH ALLIANCE | |
| 57862 | Other | IA | WELLMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22728 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- ccassel@ora2099.srs-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1710965017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"address_2": "SUITE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"address_2": "SUITE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSEL",
"first_name": "CHARLES",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "22728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA HEALTH SOLUTIONS",
"identifier": "19797",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "58095",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1602919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8121085",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0038505",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "18577",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200029105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "IA0143",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "T80726",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "041067",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "57862",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.