Individual provider Active NPI

Larissa Casaburi, MD

  • Diagnostic Radiology Physician
  • Morgantown, WV
National Provider Identifier
1144386145
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1010 Issued in WV
Practice address
6040 University Town Centre Dr
Morgantown, WV 26501
Phone
(304) 293-6307
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101258349 VA
Diagnostic Radiology Physician 2085R0202X 195 NE
Diagnostic Radiology Physician 2085R0202X 1010 WV Primary

Addresses

Primary practice location

6040 University Town Centre Dr
Morgantown, WV 26501

Mailing address

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 293-6307

Other practice location 1

Uva Hospital
Lee Street, 1st Floor
Charlottesville, VA 22908-0001
Phone (434) 982-6018

Other practice location 2

6040 University Town Centre Dr
Morgantown, WV 26501
Phone (304) 293-6307

Other identifiers 1

IdentifierTypeStateIssuer
195OtherNELICENSE

Other names 1

  • Larissa Braga Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lbragnacasaburi127042@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address lbragnacasaburi127042@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV, PA, NY, MA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160303000474 FL Practitioner - Diagnostic Radiology 9638170426 Reassigns benefits to 2 organizations
I20181120000183 WV Practitioner - Diagnostic Radiology 9638170426
I20210224000098 PA Practitioner - Diagnostic Radiology 9638170426 Reassigns benefits to 1 organization
I20210722002067 NY Practitioner - Diagnostic Radiology 9638170426 Reassigns benefits to 1 organization
I20210909001989 MA Practitioner - Diagnostic Radiology 9638170426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians

Practice addresses (Care Compare)

133 Harwich Rd
Chestnut Hill, MA 02467-3024
Phone (313) 260-8139

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jul 1, 2016 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince Jul 1, 2021 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Ste G70
Pittsburgh, PA 15212

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

600 Aberdeen Dr
#B
Somerset, PA 15501

Interoperability endpoints

  • Direct secure messaging: lcasaburi358734@direct.ahn.org

Organizations & group practices 5

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1144386145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 UNIVERSITY TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012421",
            "telephone_number": "304-293-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 UNIVERSITY TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-293-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uva Hospital",
            "address_2": "Lee Street, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080001",
            "country_code": "US",
            "telephone_number": "434-982-6018",
            "fax_number": "434-982-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 University Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26501",
            "country_code": "US",
            "telephone_number": "304-293-6307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASABURI",
        "first_name": "LARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101258349",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "195",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "195",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbragnacasaburi127042@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbragnacasaburi127042@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "BRAGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.