Individual provider Active NPI

Nicholas Rasmussen, MD

  • Diagnostic Radiology Physician
  • Ann Arbor, MI
National Provider Identifier
1205116506
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301507910 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Aug 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MRM-1905 ID
Diagnostic Radiology Physician 2085R0202X 4301507910 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

156 N 6th Street
Basin, WY 82410-0388
Phone (307) 568-2499

Other identifiers 2

IdentifierTypeStateIssuer
527OtherWYBOARD OF MEDICINE
MRM-1905OtherIDSTATE BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250827003881 MI Practitioner - Diagnostic Radiology 9830336015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Medical Imaging PCGroup PAC ID 4688637697, 22 clinicians
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000

3346 Lennon Rd
Suite 2
Flint, MI 48507-1082
Phone (810) 732-1920

5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Regents of the University of Michigan CurrentSince Jul 1, 2025 Accepting new patients
Regents of the University of Michigan Internal Medicine Current Accepting new patients
Regional Medical Imaging, P.C. Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Metropolitan Hospital Internal Medicine CurrentSince Dec 14, 2025 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Metropolitan Hospital Past Accepting new patients
Family Orthopedic Associates P L C Past Accepting new patients

Locations

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1141 S State Rd
Ste 26
Davison, MI 48423
Phone (810) 658-4454

221 W Roberts St
Fenton, MI 48430
Phone (810) 629-4192

3346 Lennon Rd
Flint, MI 48507

5059 Villa Linde Pkwy
Ste 25
Flint, MI 48532
Phone (810) 732-8870

3346 Lennon Rd
Ste 2
Flint, MI 48507
Phone (810) 732-1994

8483 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-4107

1794 N Lapeer Rd
Ste B
Lapeer, MI 48446
Phone (810) 245-5290

24285 Karim Blvd
Ste A
Novi, MI 48375

1605 US Highway 131
Ste A
Petoskey, MI 49770

15300 Trenton Rd
Southgate, MI 48195
Phone (734) 281-6600

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: nrasmussen860295@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1205116506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 N 6th Street",
            "address_purpose": "LOCATION",
            "city": "Basin",
            "state": "WY",
            "postal_code": "824100388",
            "country_code": "US",
            "telephone_number": "307-568-2499",
            "fax_number": "307-568-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "MRM-1905",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301507910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE",
            "identifier": "527",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF MEDICINE",
            "identifier": "MRM-1905",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.