Individual provider Active NPI

Altaf Rasool, M.D

  • Nephrology Physician
  • Uncasville, CT
National Provider Identifier
1013018357
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
034177 Issued in CT
Practice address
88 Norwich New London Tpke
Suite 2
Uncasville, CT 06382-2518
Phone
(860) 367-0087
NPI assigned
Sep 26, 2006
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 034177 CT Primary

Addresses

Primary practice location

88 Norwich New London Tpke
Suite 2
Uncasville, CT 06382-2518

Mailing address

88 Norwich New London Tpke
Suite 2
Uncasville, CT 06382-2518
Phone (860) 367-0087

Other identifiers 11

IdentifierTypeStateIssuer
034177OtherCTCONNECTICARE
C01668OtherCTPTAN
010034177CT02OtherCTBC/BS
5479643-1071553OtherCTAETNA
001341776MedicaidCT
2V7239OtherCTHEALTH NET
P3625618OtherCTOXFORD
6848847OtherCTSIGNA
12373437OtherCTMULTIPLAN
2560336OtherCTUNITED HEALTH
5479643-1057846OtherCTAETNA -INTERNAL MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050914000666 CT Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 1759314339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Norwich New London Tpke
Suite 2
Uncasville, CT 06382-2518

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034177CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital CurrentSince Feb 3, 2014 Accepting new patients
Southeastern Connecticut Nephrology Associates PC Nephrology CurrentSince Sep 11, 2011 Accepting new patients
William W Backus Hospital CurrentSince Feb 3, 2014 Accepting new patients
Cornelio R Hong MD Past Accepting new patients
Southeastern CT Nephrology Assoc. Past Accepting new patients

Locations

12 Case St
Ste 305
Norwich, CT 06360
Phone (203) 598-8252

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

88 Norwich New London Tpke
Ste 2
Uncasville, CT 06382
Phone (860) 367-0087

Interoperability endpoints

  • Direct secure messaging: arasool187777@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1013018357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE",
            "address_2": "SUITE 2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518",
            "telephone_number": "860-367-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE",
            "address_2": "SUITE 2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518",
            "telephone_number": "860-367-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "ALTAF",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "034177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "034177",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C01668",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "010034177CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5479643-1071553",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001341776",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V7239",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3625618",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIGNA",
            "identifier": "6848847",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12373437",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2560336",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA -INTERNAL MEDICINE",
            "identifier": "5479643-1057846",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.