Individual provider Active NPI

James M Kassube, MD

  • Physical Medicine & Rehabilitation Physician
  • Eugene, OR
National Provider Identifier
1720005382
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD26539 Issued in OR
Practice address
920 Country Club Rd
Suite 200a
Eugene, OR 97401-6024
Phone
(541) 342-2134
Fax
(541) 242-4227
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD26539 OR Primary

Addresses

Primary practice location

920 Country Club Rd
Suite 200a
Eugene, OR 97401-6024

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 687-4900

Other identifiers 1

IdentifierTypeStateIssuer
247343MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000537 OR Practitioner - Addiction MedicinePractitioner - Pain ManagementPractitioner - PsychiatryPractitioner - Physical Medicine and Rehabilitation 3173521986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Feb 1, 2011 Accepting new patients
Keiperspine, PC PastSince Jan 1, 2005 Accepting new patients
Oregon Anesthesiology Group PC Past Accepting new patients

Locations

920 Country Club Rd
Ste 100A
Eugene, OR 97401
Phone (541) 242-4162

920 Country Club Rd
Ste 200A
Eugene, OR 97401
Phone (541) 242-4220

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: jkassube@yourcarecommunity.org
  • Direct secure messaging: james.kassube.p2@direct.lanecounty.nextgenshare.com
  • Direct secure messaging: jkassube684098@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1720005382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-687-4900",
            "fax_number": "541-687-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD",
            "address_2": "SUITE 200A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016024",
            "telephone_number": "541-342-2134",
            "fax_number": "541-242-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSUBE",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD26539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247343",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.