Golta Rasouli, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

ME145594 Issued in FL

Practice address

395 Commercial CT Ste C
Venice, FL 34292-1651

Phone

(941) 529-0070

Fax

(941) 529-0539

NPI assigned

Apr 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rejuva Dermatology and Vein Center, PLLCGroup PAC ID 3173932548, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grasouli@rejuvaderm.emadirect.md
• Direct secure messaging: golta.rasoulimd.p5@direct.cvr.nextgenshare.com

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.

• Rejuva Dermatology & Vein Center, PLLC

  • Dermatology Physician
  • Venice, FL
  • NPI 1316522691

  Phlebology

  Medicare reassignment Care Compare group NPD Authorized official
• Podiatry Associates of Texas.

  • Podiatrist
  • Arlington, TX
  • NPI 1871998534
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1154765667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 E VENICE AVE UNIT 510",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922465",
            "telephone_number": "941-529-0070",
            "fax_number": "941-529-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 COMMERCIAL CT STE C",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921651",
            "telephone_number": "941-529-0070",
            "fax_number": "941-529-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOULI",
        "first_name": "GOLTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME145594",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME145594",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME145594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Rainer, MD
• Binesh B Ramani, PHARM D.
• Victoria Elizabeth Ramirez
• Christine Ramsing, N.P.
• Rachel Randolph
• Yanira Raza, M.D.
• Erica Rebollar
• Dheeraj Soma Reddy, M.D.
• Kim Suzanne Reddy, LMT
• Vinay Kumar Puchalapalli Reddy, MD

• Phlebology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.