Active NPI
Chaudri G Rasool, DO
- Family Medicine Physician
- West Union, IA
National Provider Identifier
1285636456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3033
- Practice address
- 110 Jefferson St
West Union, IA 52175-1022 - Phone
- (563) 422-3817
- NPI assigned
- Jun 1, 2005
- Last updated
- Feb 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3033 | IA | Primary |
Addresses
Primary practice location
110 Jefferson St
West Union, IA 52175-1022
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32373300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03033 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of the Valley Healthcare PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10294/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Elgin, IA
- NPI 1710925797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1285636456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 JEFFERSON ST",
"city": "WEST UNION",
"state": "IA",
"postal_code": "521751022",
"telephone_number": "563-422-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASOOL",
"first_name": "CHAUDRI",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "3033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32373300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Union, IA
- Palmer Lutheran Health Center, Inc. (Gundersen Palmer Lutheran Hospital and Clinics)
- Palmer Outpatient Pharmacy
- Autumnn Parmeter
- John William Pleggenkuhle, DC
- John Sherman Powers, PHARMD
- Renal Treatment Centers-Illinois Inc. (West Union Dialysis)
- Jill Marie Schmitt, ARNP
- Rachel Ann Schroeder, FNP
- Kelsey Schultz, PTA
- Kendra Ann Seitz, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.