Active NPI
Rob M Kassan M D LLC
- Primary Care Clinic/Center
- Bend, OR
National Provider Identifier
1740073741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ROB M KASSAN M D LLC
- Practice address
- 1105 SE Centennial St
Bend, OR 97702-1343 - Phone
- (541) 241-6471
- NPI assigned
- May 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rob Kassan, MD
- Title
- Owner
- Phone
- (310) 650-7813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1105 SE Centennial St
Bend, OR 97702-1343
Mailing address
445 Nutcracker Dr
Redmond, OR 97756-7329
Phone (310) 650-7813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bend, OR
- NPI 1487681417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1740073741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 NUTCRACKER DR",
"city": "REDMOND",
"state": "OR",
"postal_code": "977567329",
"telephone_number": "310-650-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 SE CENTENNIAL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977021343",
"telephone_number": "541-241-6471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROB M KASSAN M D LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-23",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "KASSAN",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-650-7813",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.