Individual provider Active NPI

David Kade Rasmussen, D.O.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1245537158
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5428 Issued in OK
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

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213001360 OK Practitioner - Emergency Medicine 1052574670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
84.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010435OHMDEmergency Medicine Physician
5428OKMDGeneral Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Sep 4, 2024 Accepting new patients
St. John Physicians, Inc. Emergency Medicine CurrentSince Oct 7, 2014 Accepting new patients
St. John Physicians, Inc CurrentSince Oct 7, 2014 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.

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

Verify at the official NPI Registry.