Individual provider Active NPI

Jason P Rasefske, MD

  • Specialist
  • Blairsville, PA
National Provider Identifier
1265407753
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD066175L Issued in PA
Practice address
25 Colony Blvd
Urgi-Care Center
Blairsville, PA 15717-7971
Phone
(724) 459-1700
Fax
(724) 459-1702
NPI assigned
Feb 20, 2006
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD066175L PA Primary

Addresses

Primary practice location

25 Colony Blvd
Urgi-Care Center
Blairsville, PA 15717-7971

Mailing address

25 Colony Blvd
Urgi-Care Center
Blairsville, PA 15717-7971
Phone (724) 459-1700

Other identifiers 1

IdentifierTypeStateIssuer
011684287MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050607000618 PA Practitioner - Emergency MedicinePractitioner - Family Practice 9335182740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Regional Medical CenterGroup PAC ID 6800791187, 11 clinicians

Practice addresses (Care Compare)

25 Colony Blvd
Blairsville, PA 15717-7971
Phone (724) 549-1700

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066175LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services, Inc CurrentSince Jan 1, 2023 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 388-3814

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

Organizations & group practices 4

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 4

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1265407753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD",
            "address_2": "URGI-CARE CENTER",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "724-459-1700",
            "fax_number": "724-459-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD",
            "address_2": "URGI-CARE CENTER",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "724-459-1700",
            "fax_number": "724-459-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASEFSKE",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD066175L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011684287",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.