Ronald J Rasansky, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

5101006638 Issued in MI

Practice address

27301 Dequindre Rd
Suite 314
Madison Heights, MI 48071-3473

Phone

(248) 399-4400

Fax

(248) 399-4840

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Oakland Medical Group PC

  dba Oakland Family Practice

  • Family Medicine Physician
  • Madison Heights, MI
  • NPI 1124053509
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1447234539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "SUITE 314",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713473",
            "telephone_number": "248-399-4400",
            "fax_number": "248-399-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "SUITE 314",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713473",
            "telephone_number": "248-399-4400",
            "fax_number": "248-399-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASANSKY",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101006638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "700002488",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447234539",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H217350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C7017",
            "identifier": "C7017",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Quandt
• Rizaan Raheem
• Aminur Rahman, FNP
• Randy S Feldman, DPM
• John Louis Raniszewski
• Santosh K Rastogi, MD
• Sarah Ravishankar, MA, BCBA, LBA
• Leandra A Ray, RBT
• Tarah Reagan
• Donna Rebidas, CRNA

• Gastroenterology Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.