Individual provider Active NPI

Niel Christian Rasmussen, MD

  • Family Medicine Physician
  • Headland, AL
National Provider Identifier
1174560916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00021221 Issued in AL
Practice address
204 Holman Dr
Headland, AL 36345-2307
Phone
(334) 693-3336
Fax
(334) 693-2553
NPI assigned
Jun 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00021221 AL Primary

Addresses

Primary practice location

204 Holman Dr
Headland, AL 36345-2307

Mailing address

204 Holman Dr
Headland, AL 36345-2307
Phone (334) 693-3336

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100208000520 AL Practitioner - Family Practice 6608919022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niel C Rasmussen MD PCGroup PAC ID 0345267589, 2 clinicians

Practice addresses (Care Compare)

204 Holman Dr
Headland, AL 36345-2307
Phone (334) 693-3336

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021221ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niel C Rasmussen MD PC Family Medicine CurrentSince Jun 28, 2002 Accepting new patients

Locations

204 Holman Dr
Headland, AL 36345
Phone (334) 693-3336

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17004/brand/1/csg/1/fhir/r4
  • Direct secure messaging: niel.rasmussen.1@17004.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174560916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HOLMAN DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363452307",
            "telephone_number": "334-693-3336",
            "fax_number": "334-693-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HOLMAN DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363452307",
            "telephone_number": "334-693-3336",
            "fax_number": "334-693-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "NIEL",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00021221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Headland, AL

Sources for this page

Verify at the official NPI Registry.