Active NPI
Richard A Marasa, MD
- Emergency Medicine Physician
- Windsor, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15037
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042-0008688 | VT | |
| Emergency Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079550 | Medicaid | NH | |
| 0VN0577 | Medicaid | VT | |
| 15037 | Other | NH | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282042 | MA | MD | Emergency Medicine Physician |
| 042-0008688 | VT | MD | Emergency Medicine Physician |
| 15037 | NH | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Single Specialty | Current | Accepting new patients |
| Windsor Hospital Corporation | Single Specialty | Current | Accepting new patients |
| Windsor Hospital Corporation | Current | 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 | Past | 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
- richard.marasa.1@24182.direct.athenahealth.com
- 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.
-
dba Mt Ascutney Hospital and Health Center
- Internal Medicine Physician
- Windsor, VT
- NPI 1841287984
Single Specialty
-
dba Mt Ascutney Hospital Acute
- Critical Access Hospital
- Windsor, VT
- NPI 1922095918
-
- Federally Qualified Health Center (FQHC)
- Springfield, VT
- NPI 1730336843
NH
-
dba Mt Ascutney Hospital Emerg Room
- Emergency Medicine Physician
- Windsor, VT
- NPI 1558358747
-
- Addiction Medicine (Internal Medicine) Physician
- Beverly, MA
- NPI 1962090001
-
- Critical Access Hospital
- Springfield, VT
- NPI 1982743969
-
dba New Hampshire Detox
- Substance Abuse Rehabilitation Facility
- Bethlehem, NH
- NPI 1073106274
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Marlborough, NH
- NPI 1255114708
-
- Substance Abuse Rehabilitation Facility
- Antrim, NH
- NPI 1376088724
-
- Substance Abuse Rehabilitation Facility
- Tilton, NH
- NPI 1730987082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.