Individual provider Active NPI

Susan P Raschal, D.O.

  • Allergy & Immunology Physician
  • Chattanooga, TN
National Provider Identifier
1063451813
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DO01251 Issued in TN
Practice address
1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3482
Phone
(423) 468-3267
Fax
(423) 468-3270
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X DO01251 TN Primary
Allergy & Immunology Physician 207K00000X 044989 GA

Addresses

Primary practice location

1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3482

Mailing address

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090205000448 TN Practitioner - Allergy/Immunology 5294701009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044989GAMDAllergy & Immunology Physician
DO01251TNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince May 5, 2021 Accepting new patients
Ut Physicians Inc Past Accepting new patients
Galen Medical Group, PC Allergy & Immunology Past Accepting new patients

Locations

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

1350 Mackey Branch Dr
Ste 114
Chattanooga, TN 37421
Phone (423) 468-3267

6401 Poplar Ave
Ste 300
Memphis, TN 38119
Phone (901) 751-6100

Interoperability endpoints

  • Direct secure messaging: susanr@direct.covenantallergy.com
  • Direct secure messaging: raschal.susan.004.0420005@caac.meditab.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1063451813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DR",
            "address_2": "SUITE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213482",
            "telephone_number": "423-468-3267",
            "fax_number": "423-468-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHAL",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "DO01251",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "044989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.