NPIMap

Individual provider Active NPI

Mark A Rasak, DO

  • Cardiovascular Disease Physician
  • Livonia, MI
National Provider Identifier
1053391920
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101010225 Issued in MI
Practice address
17880 Farmington Rd
Livonia, MI 48152-3104
Phone
(248) 615-7300
Fax
(248) 615-7333
NPI assigned
Jan 18, 2006
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101010225 MI Primary

Addresses

Primary practice location

17880 Farmington Rd
Livonia, MI 48152-3104

Mailing address

17880 Farmington Rd
Livonia, MI 48152-3104
Phone (248) 615-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000516 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709848872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Care Solutions PCGroup PAC ID 3678903465, 23 clinicians

Practice addresses (Care Compare)

101 W Big Beaver Rd
Suite 1400
Troy, MI 48084-5295
Phone (586) 343-1022

17880 Farmington Rd
Livonia, MI 48152-3104
Phone (248) 615-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010225MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Clinical Associates, PC Cardiovascular Disease CurrentSince Aug 1, 1995 Accepting new patients
Physician Care Solutions P.C. CurrentSince Jan 26, 2025 Accepting new patients

Locations

28080 Grand River Ave
Ste 30
Farmington Hills, MI 48336
Phone (248) 615-7300

28080 Grand River Ave
Ste 300W
Farmington Hills, MI 48336
Phone (248) 615-7300

17880 Farmington Rd
Livonia, MI 48152
Phone (248) 465-1848

101 W Big Beaver Rd
Ste 1400
Troy, MI 48084
Phone (248) 687-1829

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21194/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.rasak.1@21194.direct.athenahealth.com
  • Direct secure messaging: mrasak950657@direct.hfhs.org

Organizations & group practices 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1053391920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17880 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "248-615-7300",
            "fax_number": "248-615-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17880 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "248-615-7300",
            "fax_number": "248-615-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASAK",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101010225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.