Michael M Raso, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036117194 Issued in IL

Practice address

1115 N Bourland Ave
Peoria, IL 61606-1210

Phone

(309) 264-0730

NPI assigned

Jul 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Emergency Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mason Hospital DistrictGroup PAC ID 2466360607, 41 clinicians

Epss LLC- Lakeside SeriesGroup PAC ID 1052769809, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• Mason District Hospital Hospital, Havana, IL, CCN 141313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/

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.

• Epss LLC- Lakeside Series

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1861271181
  Medicare reassignment Care Compare group NPD
• Mason Hospital District

  • Critical Access Hospital
  • Havana, IL
  • NPI 1902849649
  Medicare reassignment Care Compare group NPD
• City of Clinton

  • Critical Access Hospital
  • Clinton, IL
  • NPI 1275695470
  Medicare reassignment NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Medicare reassignment NPD
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Medicare reassignment NPD
• City of Clinton

  • Critical Access Hospital
  • Clinton, IL
  • NPI 1891873816
  NPD
• K M B S C

  • Anatomic Pathology & Clinical Pathology Physician
  • Decatur, IL
  • NPI 1902867997
  NPD
• Mason Hospital District

  • Critical Access Hospital
  • Havana, IL
  • NPI 1710181797
  NPD
• McDonough County Hospital District

  • Emergency Medicine Physician
  • Macomb, IL
  • NPI 1013048982
  NPD
• McDonough County Hospital District

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  NPD
• McDonough County Hospital District

  • Anatomic Pathology & Clinical Pathology Physician
  • Macomb, IL
  • NPI 1396055869
  NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1629227665
  NPD

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

• Mason Hospital District

  • Ambulance
  • Havana, IL
  • NPI 1689823866

  Hospital

  Care Compare affiliation
• Mason Hospital District

  • Critical Access Hospital
  • Havana, IL
  • NPI 1902849649
  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053518092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N BOURLAND AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061210",
            "telephone_number": "309-264-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N BOURLAND AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061210",
            "telephone_number": "309-264-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASO",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036117194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "036117194",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Rashid, M.D.
• Khurram Rashid, M.D.
• Serageldin Raslan
• Abigail L Rasmuson, LSW
• Frandy Suzanne Raso, LCSW
• Cristin Maria Rassi, APN CNS
• Michelle Rathbun
• Nicole Marie Rau, M.D.
• Lauren Raube, PT, DPT
• Lee Raube, D.O.

• Emergency Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.