Individual provider Active NPI

Tamella Buss Cassis, MD

  • Dermatology Physician
  • Prospect, KY
National Provider Identifier
1962408088
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38026 Issued in KY
Practice address
9301 Dayflower St
Suite 100
Prospect, KY 40059-7585
Phone
(502) 326-8588
Fax
(502) 326-8589
NPI assigned
Jun 23, 2005
Last updated
Feb 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 38026 KY Primary

Addresses

Primary practice location

9301 Dayflower St
Suite 100
Prospect, KY 40059-7585

Mailing address

9301 Dayflower St
Suite 100
Prospect, KY 40059-7585
Phone (502) 326-8588

Other identifiers 1

IdentifierTypeStateIssuer
64102486MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000213 KY Practitioner - Dermatology 7315989894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamella Buss Cassis MD PLLCGroup PAC ID 1456435247, 3 clinicians

Practice addresses (Care Compare)

9301 Dayflower St
Suite 100
Prospect, KY 40059-7585
Phone (502) 326-8588

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
71.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1086
Skin biopsy71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38026KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tamella Buss Cassis MD PLLC Dermatology CurrentSince Mar 1, 2008 Accepting new patients

Locations

9301 Dayflower St
#100
Prospect, KY 40059
Phone (502) 326-8588

9301 Dayflower St
Ste 100
Prospect, KY 40059
Phone (502) 326-8588

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1962408088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DAYFLOWER ST",
            "address_2": "SUITE 100",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597585",
            "telephone_number": "502-326-8588",
            "fax_number": "502-326-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 DAYFLOWER ST",
            "address_2": "SUITE 100",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597585",
            "telephone_number": "502-326-8588",
            "fax_number": "502-326-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIS",
        "first_name": "TAMELLA",
        "middle_name": "BUSS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "38026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64102486",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.