KELLY J. CASSEDY M.D. NPI 1639170178

NPI Information

  • NPI: 1639170178
  • Provider Name: KELLY J. CASSEDY, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 W RAVINE RD
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 968-1144

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NPI Details

Kelly J. Cassedy, M.D. is a diagnostic radiology radiology in Kingsport, TN with 38 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kelly J. Cassedy, M.D. NPI is 1639170178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

130 W RAVINE RD
KINGSPORT, TN
ZIP 37660-810
Phone: (423) 968-1144
Fax: (423) 968-3453

The NPI 1639170178 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of head or brain before and after contrast (HCPCS:70470)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of lower spine with contrast (HCPCS:72132)
  • X-ray of spine, 1 view (HCPCS:72020)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ct scan of upper spine with contrast (HCPCS:72126)
  • X-ray of lower spinal canal with review by radiologist (HCPCS:62304)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • X-ray of multiple regions of spinal canal with review by radiologist (HCPCS:62305)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan head or brain with contrast (HCPCS:70460)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology23468TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13058511OTHERTENNESSEEBCBS
27213425MEDICAIDVIRGINIA
3RO6903OTHERTENNESSEEJOHN DEERE
43070168MEDICAIDTENNESSEE
564927528MEDICAIDKENTUCKY
6300066625OTHERPGBA (RR MEDICARE)
70218543000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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