NPIMap

Individual provider Active NPI

Anthony Robert Casacchia, MD

  • Internal Medicine Physician
  • Poland, OH
National Provider Identifier
1790170595
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.130068 Issued in OH
Practice address
905 Sahara TRL
Poland, OH 44514-3687
Phone
(330) 729-8977
Fax
(330) 729-8959
NPI assigned
Mar 30, 2015
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.130068 OH Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35.130068 OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 35.130068 OH

Addresses

Primary practice location

905 Sahara TRL
Poland, OH 44514-3687

Mailing address

905 Sahara TRL
Poland, OH 44514-3687
Phone (330) 729-8977

Other identifiers 1

IdentifierTypeStateIssuer
0236867MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003007739 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6709194285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4327

900 Trailwood Dr
Boardman, OH 44512-5007
Phone (330) 726-2575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.130068OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Internal Medicine Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Aug 17, 2020 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Past Accepting new patients
Aventura at Assumption Village LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1950 Niles Cortland Rd NE
Ste 10
Warren, OH 44484
Phone (330) 726-7100

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

900 Trailwood Dr
Youngstown, OH 44512
Phone (330) 726-2575

905 Sahara Trl
Youngstown, OH 44514
Phone (330) 726-0100

Interoperability endpoints

  • Direct secure messaging: acasacchia733157@direct.bsmhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of the Valley IncGirard, OH, CCN 361538 Hospice Contracted Managing Employee Apr 23, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1790170595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SAHARA TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143687",
            "telephone_number": "330-729-8977",
            "fax_number": "330-729-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SAHARA TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143687",
            "telephone_number": "330-729-8977",
            "fax_number": "330-729-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACCHIA",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.130068",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.130068",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.130068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236867",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

Verify at the official NPI Registry.