Individual provider Active NPI

Ole A Raustol, MD

  • Pediatric Orthopaedic Surgery Physician
  • Asheville, NC
National Provider Identifier
1366583213
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
201002101 Issued in NC
Practice address
11 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone
(828) 213-1740
Fax
(828) 213-1742
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2010-02101 NC
Pediatric Orthopaedic Surgery Physician 207XP3100X 201002101 NC Primary
Orthopaedic Surgery Physician 207X00000X 201002101 NC

Addresses

Primary practice location

11 Vanderbilt Park Dr
Asheville, NC 28803-1700

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 250-2833

Other identifiers 2

IdentifierTypeStateIssuer
5906059MedicaidNC
1366583213MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oleraustolmd@Direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111227000092 NC Practitioner - Orthopedic Surgery 3577650878 Reassigns benefits to 1 organization
I20180702003329 NC Practitioner - Pediatric MedicinePractitioner - Orthopedic Surgery 3577650878

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Warren Alpert Medical School of Brown University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201002101NCMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospitals Inc Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Children's Surgical Specialty Group, Inc Past Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

472 Rankin Dr
Marion, NC 28752
Phone (828) 652-1400

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

Interoperability endpoints

  • Direct secure messaging: oleraustolmd@direct.msj.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1366583213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-250-2833",
            "fax_number": "828-651-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-213-1740",
            "fax_number": "828-213-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSTOL",
        "first_name": "OLE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-02101",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NC",
            "license": "201002101",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "201002101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906059",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366583213",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oleraustolmd@Direct.msj.org",
            "affiliation": "N",
            "address_1": "11 Vanderbilt Park Dr",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288031700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.