Individual provider Active NPI

Zachary Rasor, DPM

  • Foot & Ankle Surgery Podiatrist
  • VA Beach, VA
National Provider Identifier
1235525890
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301229 Issued in VA
Practice address
4421 Virginia Beach Blvd Ste 114
VA Beach, VA 23462-3114
Phone
(757) 963-7676
Fax
(757) 937-0104
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301229 VA Primary

Addresses

Primary practice location

4421 Virginia Beach Blvd Ste 114
VA Beach, VA 23462-3114

Mailing address

860 Omni Blvd Ste 128
Newport News, VA 23606-4430
Phone (757) 232-8769

Other practice location 1

860 Omni Blvd Ste 113
Newport News, VA 23606-4430
Phone (757) 327-0657

Other practice location 2

5424 Discovery Park Boulevard
Building B, Suite 105
Williamsburg, VA 23188
Phone (757) 345-5870

Other practice location 3

234 Goodman St
Outpatient Podiatry Clinic
Cincinnati, OH 45219-2364
Phone (513) 584-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823000010 VA Practitioner - Podiatry 1557673506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

13195 Warwick Blvd
2C
Newport News, VA 23602-8313
Phone (804) 877-4221

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

4421 Virginia Beach Blvd
VA Beach, VA 23462-3114

5424 Discovery Park Blvd
Williamsburg, VA 23188-2862

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue211
Removal of skin lesions74
Removal of nail tissue440
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 17, 2022 Accepting new patients

Locations

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

13195 Warwick Blvd
Ste 2C
Newport News, VA 23602
Phone (804) 877-4221

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

860 Omni Blvd
Ste 113
Newport News, VA 23606
Phone (757) 327-0657

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

860 Omni Blvd
Ste 128
Newport News, VA 23606

222 Walnut Ave SW
Roanoke, VA 24016
Phone (540) 344-3668

1802 Braeburn Dr
Ste M120
Salem, VA 24153
Phone (540) 344-3668

4421 Virginia Beach Blvd
Ste 114
Virginia Beach, VA 23462
Phone (757) 738-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 5

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 7

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1235525890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 128",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 VIRGINIA BEACH BLVD STE 114",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234623114",
            "telephone_number": "757-963-7676",
            "fax_number": "757-937-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Omni Blvd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064430",
            "country_code": "US",
            "telephone_number": "757-327-0657",
            "fax_number": "757-240-5096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5424 Discovery Park Boulevard",
            "address_2": "Building B, Suite 105",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-345-5870",
            "fax_number": "757-345-6927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman St",
            "address_2": "Outpatient Podiatry Clinic",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-584-4318",
            "fax_number": "513-584-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASOR",
        "first_name": "ZACHARY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in VA Beach, VA

Sources for this page

Verify at the official NPI Registry.