Active NPI
Mark A Rasak, DO
- Cardiovascular Disease Physician
- Livonia, MI
National Provider Identifier
1053391920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 5101010225
- Practice address
- 17880 Farmington Rd
Livonia, MI 48152-3104 - Phone
- (248) 615-7300
- Fax
- (248) 615-7333
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3119718-11 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
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
- Beaumont Home Health
- Beaumont Hospital - Farmington Hills
- Ascension Providence Hospital, Southfield and Novi
- St Joe Mercy Hospital System Livonia
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Care Solutions P.C. | Current | Accepting new patients | |
| Cardiovascular Clinical Associates, PC | Cardiovascular Disease | Current | 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) 687-1200
Interoperability endpoints
- mark.rasak.1@21194.direct.athenahealth.com
- mrasak950657@direct.hfhs.org
- https://api.platform.athenahealth.com/21194/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1285265983
-
- Cardiovascular Disease Physician
- Livonia, MI
- NPI 1154392132
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3119718-11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.