DANIEL ADANE KASSA MD
NPI 1770385270
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Q: What is Daniel Kassa's NPI number?

The NPI number for Daniel Kassa is 1770385270. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Daniel Kassa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Kassa was last updated on November 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2025PECOS Enrolled

1601 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-7611 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2025, Mar 26, 2025 (2 updates tracked since 2025).

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About Daniel Adane Kassa Md NPPES

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

DANIEL ADANE KASSA MD (NPI 1770385270) is an individual student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770385270

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDANIEL ADANE KASSACredential: MD

Location Address1601 W 40TH AVEPine Bluff, AR 71603-6069

Mailing Address1601 W 40th AvePine Bluff, AR 71603-6069 · (870) 541-7611 · Fax (870) 541-7618

Phone(870) 541-7611

Sole ProprietorNo

Enumeration DateMarch 25, 2025

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1770385270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1601 W 40TH AVE, Pine Bluff, AR 71603

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Adane Kassa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.