Serge Rasskazoff, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036128821 Issued in IL

Practice address

1300 S Columbia Rd
Grand Forks, ND 58201-4012

Phone

(701) 780-2300

Fax

(701) 780-5772

NPI assigned

Mar 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Neurosurgery

Education

National Medical University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Texas Neurosurgery AssociatesGroup PAC ID 7719213925, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Texas Neurosurgery Associates

  • Neurological Surgery Physician
  • Brownsville, TX
  • NPI 1235698911
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Brownsville Hospital Company LLC

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1184911877
  Care Compare affiliation

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1366716466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000",
            "fax_number": "701-780-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014012",
            "telephone_number": "701-780-2300",
            "fax_number": "701-780-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSKAZOFF",
        "first_name": "SERGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ZZ",
            "license": "17-719",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036128821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366716466",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Ramos Anderson, LCSW
• Danielle Rancourt, MS, RD, CSSD, LD
• Lydia Asa Akua Randall
• Rapidcare Urgent Care
• Case Rod Rasmussen, CRNA
• David M Rathbone, MD
• Serena E Ratzlaff, MS, SLP
• Narendra Nath Ravi, M.D
• Jon F Raymond, MD
• Laura A Raymond, MD

• Neurological Surgery Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Neurological Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.

Verify at the official NPI Registry.