Active NPI
Barry Paul Kassels M D Inc
- Anesthesiology Physician
- Modesto, CA
National Provider Identifier
1871722132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G78198
- Legal business name
- BARRY PAUL KASSELS M D INC
- Practice address
- 1700 Coffee Rd
Modesto, CA 95355-2803 - Phone
- (503) 372-2740
- NPI assigned
- Jul 8, 2009
- Last updated
- Aug 20, 2024
- 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
- Barry Paul Kassels, M D
- Title
- President
- Phone
- (209) 484-4368
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G78198 | CA | Primary |
Addresses
Primary practice location
1700 Coffee Rd
Modesto, CA 95355-2803
Mailing address
9600 SW Nimbus Ave Ste 200
Beaverton, OR 97008-7389
Phone (503) 372-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG781981 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
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, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Modesto, CA
- NPI 1831106673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1871722132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 SW NIMBUS AVE STE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087389",
"telephone_number": "503-372-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552803",
"telephone_number": "503-372-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY PAUL KASSELS M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-08",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "KASSELS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-484-4368",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G78198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG781981",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.