Individual provider Active NPI

Homaira Rasool, DO

  • Gastroenterology Physician
  • Middletown, CT
National Provider Identifier
1043740293
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
75903 Issued in CT
Practice address
410 Saybrook Rd
Middletown, CT 06457-4777
Phone
(860) 347-4620
Fax
(860) 346-9687
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 75903 CT Primary

Addresses

Primary practice location

410 Saybrook Rd
Middletown, CT 06457-4777

Mailing address

410 Saybrook Rd Ste 201
Middletown, CT 06457-4777
Phone (860) 347-4620

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
I20231109000595 CT Practitioner - Gastroenterology 2961829908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Gastroenterology Associates, LLCGroup PAC ID 5597657627, 13 clinicians

Practice addresses (Care Compare)

410 Saybrook Rd
Suite 201
Middletown, CT 06457-4777
Phone (860) 347-4620

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
90.77
Improvement activities
40
Cost
74.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy90
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75903CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Gastroenterology Associates, LLC Gastroenterology CurrentSince Nov 1, 2023 Accepting new patients
Integrated Anesthesia Associates LLC PastSince Nov 1, 2023 Accepting new patients

Locations

410 Saybrook Rd
Ste 201
Middletown, CT 06457
Phone (860) 347-4620

Interoperability endpoints

  • Direct secure messaging: homaira.rasool@mgact.gwaydirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1043740293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 201",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-347-4620",
            "fax_number": "860-346-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-347-4620",
            "fax_number": "860-346-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "HOMAIRA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "75903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.