Lawrence D Kassan, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003381L Issued in PA

Practice address

2101 Snyder Ave
Philadelphia, PA 19145-2719

Phone

(215) 336-4151

Fax

(215) 336-5111

NPI assigned

Jul 13, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lawrence D Kassan

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1720182363
  Medicare reassignment NPD Authorized official
• Lawrence D Kassan

  • Podiatric Clinic/Center
  • Philadelphia, PA
  • NPI 1588179568

  Podiatrist

  NPD Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932107810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452719",
            "telephone_number": "215-336-4151",
            "fax_number": "215-336-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452719",
            "telephone_number": "215-336-4151",
            "fax_number": "215-336-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3458 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491604",
            "country_code": "US",
            "telephone_number": "215-333-8637",
            "fax_number": "215-333-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAN",
        "first_name": "LAWRENCE",
        "middle_name": "D",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2018-03-17",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003381L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001279740-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Kass-Gergi, MD
• Lewis J Kass, MD
• Lisa Kass, CRNP
• Bilal Kassak, DMD
• Nancy Kassam-Adams, PHD
• Megan Elizabeth Kassick, MD
• Deyari Azad Kareem Kassim
• Courtney Kassis, RD
• David Michael Kasson, PH.D.
• Stacey M Kassutto, MD

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.