STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC
NPI 1669505160
Specialist in Modesto, CA
About Stanislaus Orthopaedic And Sports Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC (NPI 1669505160) is a healthcare organization registered as a specialist in Modesto, California and active in the NPI registry since March 2007. The organization lists John Casey, Senior Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanislaus Orthopaedic And Sports Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Stanislaus Orthopaedic And Sports Medicine Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
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 Stanislaus Orthopaedic And Sports Medicine Clinic's NPI number?
The NPI number for Stanislaus Orthopaedic And Sports Medicine Clinic is 1669505160. It was assigned to this organization in the NPPES registry on March 13, 2007.
Where is Stanislaus Orthopaedic And Sports Medicine Clinic located?
Stanislaus Orthopaedic And Sports Medicine Clinic is located at 609 E Orangeburg Ave, Modesto, CA 95350. The listed phone number is (209) 572-3224.
What is Stanislaus Orthopaedic And Sports Medicine Clinic's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Stanislaus Orthopaedic And Sports Medicine Clinic enrolled in Medicare?
Yes. Stanislaus Orthopaedic And Sports Medicine Clinic is registered in the Medicare PECOS enrollment system.
When is Stanislaus Orthopaedic And Sports Medicine Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Multi-Specialty - Physician) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Stanislaus Orthopaedic And Sports Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Stanislaus Orthopaedic And Sports Medicine Clinic. 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. The largest specialties are Orthopedic Surgery (12), Occupational Therapist in Private Practice (2) and Physical Medicine and Rehabilitation (1). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stanislaus Orthopaedic And Sports Medicine Clinic was last updated on August 24, 2011. 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.
# Stanislaus Orthopaedic And Sports Medicine Clinic · NPI 1669505160
Specialist organization in Modesto, California. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1669505160 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** John Casey, SENIOR PARTNER
## Practice location
- **Address:** 609 E ORANGEBURG AVE, Modesto, CA 95350-5580
- **Phone:** (209) 572-3224 · **Fax:** (209) 572-4528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, California, Multi-Specialty - Physician) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (12), Occupational Therapist in Private Practice (2), Physical Medicine and Rehabilitation (1); 5 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2011
- **Other identifiers:** Medicare UPIN BG709 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669505160) · Data from the CMS NPPES public registry.