Active NPI
David Kade Rasmussen, D.O.
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5428
- Practice address
- 1717 S Utica Ave Ste a
Tulsa, OK 74104-5346 - Phone
- (918) 748-1300
- NPI assigned
- Feb 12, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.010435 | OH | |
| Emergency Medicine Physician | 207P00000X | 5428 | OK | Primary |
Addresses
Primary practice location
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Mailing address
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Phone (918) 748-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 84.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.010435 | OH | MD | Emergency Medicine Physician |
| 5428 | OK | MD | General Care Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Broken Arrow, Inc | Past | Accepting new patients | |
| White Trillium Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Owasso Medical Facility, Inc | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
-
- Emergency Medicine Physician
- Cambridge, OH
- NPI 1720364631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1245537158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S UTICA AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741045346",
"telephone_number": "918-748-7557",
"fax_number": "918-403-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S UTICA AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741045346",
"telephone_number": "918-748-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "DAVID",
"middle_name": "KADE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.010435",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "5428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.