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UROLOGY OF MOUNT DORA
NPI 1366630808
Specialist in Mount Dora, FL

Active since October 10, 2007
717 N DONNELLY ST, MOUNT DORA, FL 32757(352) 383-3773(352) 383-4434 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Urology Of Mount Dora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UROLOGY OF MOUNT DORA (NPI 1366630808) is a healthcare organization registered as a specialist in Mount Dora, Florida and active in the NPI registry since October 2007. The organization lists Jack L Cassell, Owner/physican, as its authorized official.

NPPES Registry Identity

NPI1366630808
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACK L CASSELL M.D. P.A.
Location Address717 N DONNELLY STMount Dora, FL 32757-4833
Mailing Address717 N Donnelly StMount Dora, FL 32757-4833 · (352) 383-3773 · Fax (352) 383-4434
Phone(352) 383-3773
Fax(352) 383-4434
Organization SubpartYesParent: Jack L Cassell M.d. P.a.
Authorized OfficialJack L CassellOwner/physican · (352) 383-3773
Enumeration DateOctober 10, 2007
Last NPPES UpdateDecember 8, 2010
✔ NPI 1366630808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME46095
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
717 N DONNELLY ST, Mount Dora, FL 32757
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Other Names 1

Doing Business AsUrology Of Mount Dora

Other Identifiers 2

Medicare PINK0401FL
Medicaid254899200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urology Of Mount Dora is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Urology Of Mount Dora, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Cassell, MD
Urology
NPI 1164505483
717 NORTH DONNELLY STREET
Mount Dora, FL 32757
(352) 383-3773
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack L Cassell M.D. P.A.'s NPI number?

The NPI number for Jack L Cassell M.D. P.A. is 1366630808. It was assigned to this organization in the NPPES registry on October 10, 2007. The provider is doing business as Urology Of Mount Dora.

Where is Jack L Cassell M.D. P.A. located?

Jack L Cassell M.D. P.A. is located at 717 N Donnelly St, Mount Dora, FL 32757. The listed phone number is (352) 383-3773.

What is Jack L Cassell M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jack L Cassell M.D. P.A. enrolled in Medicare?

Yes. Jack L Cassell M.D. P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack L Cassell M.D. P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Jack L Cassell M.D. P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jack L Cassell M.D. P.A. was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.