Individual provider Active NPI

Christine Kassis, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1730317850
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0055150 Issued in CO
Practice address
1746 Cole Blvd 150
Lakewood, CO 80401-3267
Phone
(303) 914-8800
Fax
(303) 716-3777
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X DR.0055150 CO
Diagnostic Radiology Physician 2085R0202X DR.0055150 CO Primary

Addresses

Primary practice location

1746 Cole Blvd 150
Lakewood, CO 80401-3267

Mailing address

1746 Cole Blvd 150
Lakewood, CO 80401-3267
Phone (303) 914-8800

Other identifiers 1

IdentifierTypeStateIssuer
05928826MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, UT, TX, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20150803000784 CO Practitioner - Diagnostic Radiology 6103085238 Reassigns benefits to 13 organizations
I20160811000919 AZ Practitioner - Diagnostic Radiology 6103085238 Reassigns benefits to 1 organization
I20161101001595 UT Practitioner - Diagnostic Radiology 6103085238 Reassigns benefits to 1 organization
I20180209002151 TX Practitioner - Diagnostic Radiology 6103085238 Reassigns benefits to 1 organization
I20220708001488 CA Practitioner - Diagnostic Radiology 6103085238 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians
Radiology LTD LLCGroup PAC ID 6204727589, 107 clinicians
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Norton Clark Physician Practices LLCGroup PAC ID 0840504114, 49 clinicians
Radiologica IncGroup PAC ID 8820337769, 46 clinicians

Practice addresses (Care Compare)

San Rafael, CA 94903
Phone (303) 914-8800

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

50 Via Encanto
Monterey, CA 93940-4335
Phone (843) 792-1414

610 Gaylord St
Denver, CO 80206-3717
Phone (812) 285-5985

San Rafael, CA 94903-2328
Phone (812) 282-6631

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521

Hospital & facility affiliations

  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2387MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Physician Specialists PC Body Imaging CurrentSince Sep 19, 2016 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jun 24, 2017 Accepting new patients
Page Hospital CurrentSince Jul 2, 2016 Accepting new patients
Northwest Radiology Network P C Diagnostic Radiology CurrentSince Jan 27, 2016 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Austin Radiological Association CurrentSince Feb 1, 2016 Accepting new patients
Page Hospital CurrentSince Jul 2, 2016 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Mar 14, 2016 Accepting new patients
Vail Clinic, Inc. CurrentSince Apr 30, 2017 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Oct 14, 2022 Accepting new patients
Vail Clinic, Inc. CurrentSince Apr 30, 2017 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients

Locations (25 of 26)

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1617 N California St
Ste 1A
Stockton, CA 95204
Phone (209) 467-6363

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

2430 Research Pkwy
Ste 105
Colorado Springs, CO 80920
Phone (719) 268-3370

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

1260 Silas Deane Hwy
Ste 100
Wethersfield, CT 06109
Phone 860289337587099

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Interoperability endpoints

  • Direct secure messaging: ckassis549598@direct.centracare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1730317850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013267",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013267",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CO",
            "license": "DR.0055150",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0055150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05928826",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.