NPIMap

Organization Active NPI

Digestive Care Associates PC

  • Gastroenterology Physician
  • Edwardsville, PA
National Provider Identifier
1083094460
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE CARE ASSOCIATES PC
Practice address
490 Northampton St
Edwardsville, PA 18704-4551
Phone
(570) 288-8100
NPI assigned
Jun 1, 2015
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Brian Rasmus
Title
VP, Cfo
Phone
(469) 893-2532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

490 Northampton St
Edwardsville, PA 18704-4551

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (570) 288-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150910001076 PA Part B Supplier - Clinic/Group Practice 7719294685 Receives reassigned benefits from 34 practitioners
Practice locations: Edwardsville, PA; Wilkes-Barre, PA; Wilkes Barre, PA; Kingston, PA; Scranton, PA

National Provider Directory

National Provider Directory

Locations

75 S Wyoming Ave
#2
Edwardsville, PA 18704
Phone (570) 704-4233

87 E Main St
Wilkes Barre, PA 18705
Phone (570) 821-1982

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1083094460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "570-288-8100",
            "fax_number": "570-714-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.