Individual provider Active NPI

Richard A Marasa, MD

  • Emergency Medicine Physician
  • Windsor, VT
National Provider Identifier
1174518708
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15037 Issued in NH
Practice address
289 County Rd
Windsor, VT 05089-9000
Phone
(802) 674-7220
Fax
(802) 674-7006
NPI assigned
Sep 20, 2005
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 042-0008688 VT
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 282042 MA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 15037 NH
Emergency Medicine Physician 207P00000X 15037 NH Primary

Addresses

Primary practice location

289 County Rd
Windsor, VT 05089-9000

Mailing address

PO Box 855
Springfield, VT 05156-0855
Phone (802) 356-0255

Other practice location 1

950 Cummings Ctr Ste 106X
Beverly, MA 01915-6274
Phone (800) 270-2302

Other practice location 2

1 Commons Dr # D
Londonderry, NH 03053-3441
Phone (603) 212-1700

Other identifiers 3

IdentifierTypeStateIssuer
3079550MedicaidNH
0VN0577MedicaidVT
15037OtherNHLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address richard.marasa@mahhc.org Direct
Direct Messaging Address richard.marasa@mahhc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031120000484 VT Practitioner - Emergency MedicinePractitioner - Internal Medicine 8123922366 Reassigns benefits to 5 organizations
I20110422000163 NH Practitioner - Emergency MedicinePractitioner - Internal Medicine 8123922366 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282042MAMDEmergency Medicine Physician
042-0008688VTMDEmergency Medicine Physician
15037NHMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Retreat Single Specialty CurrentSince Apr 19, 2020 Accepting new patients
Windsor Hospital Corporation Single Specialty CurrentSince Sep 26, 2025 Accepting new patients
Windsor Hospital Corporation CurrentSince Sep 26, 2025 Accepting new patients
Bonfire Behavioral Health LLC Past Accepting new patients
Mountain View Retreat, LLC Past Accepting new patients
Sobriety Centers of New Hampshire Past Accepting new patients
Sobriety Centers of New Hampshire, LLC Past Accepting new patients
Springfield Hospital .Inc PastSince Feb 11, 2014 Accepting new patients

Locations

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • Direct secure messaging: richard.marasa.1@24182.direct.athenahealth.com
  • Direct secure messaging: rmarasa622836@direct.dartmouth-hitchcock.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1174518708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051560855",
            "telephone_number": "802-356-0255",
            "fax_number": "802-885-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 COUNTY RD",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899000",
            "telephone_number": "802-674-7220",
            "fax_number": "802-674-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Cummings Ctr Ste 106X",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156274",
            "country_code": "US",
            "telephone_number": "800-270-2302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Commons Dr # D",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533441",
            "country_code": "US",
            "telephone_number": "603-212-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARASA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "042-0008688",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "282042",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NH",
            "license": "15037",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "15037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079550",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0577",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15037",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.marasa@mahhc.org",
            "affiliation": "N",
            "endpointDescription": "personal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "289 County Rd",
            "city": "Windsor",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050899000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.marasa@mahhc.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "289 County Rd",
            "city": "Windsor",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050899000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor, VT

Sources for this page

Verify at the official NPI Registry.