Individual provider Active NPI

Mark Rast, MD

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1467480350
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD054210L Issued in PA
Practice address
540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374
Phone
(717) 544-4950
NPI assigned
Jun 29, 2006
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD054210L PA Primary

Addresses

Primary practice location

540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511

Other identifiers 11

IdentifierTypeStateIssuer
001491807 0008MedicaidPA
54821OtherPAHEALTH AMERICA
000000257194OtherPAUNISON
50082755OtherPACAPITAL BLUE CROSS
P002760OtherPAGATEWAY
1046919OtherPAAMERIHEALTH MERCY
000545636OtherPAHIGHMARK BLUE SHIELD
0739808000OtherPAINDEPENDENCE BLUE CROSS
080100812OtherPARAILROAD MEDICARE
1190741OtherPAAETNA
14808OtherPAGEISINGER HEALTH PLAN

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
I20100218000741 PA Practitioner - Family Practice 4183768898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

445 N Reservoir Street-McCaskey Hi
Penn Med Lanc Gen H. Phys Fam Med Downtown
Lancaster, PA 17602-2447
Phone (717) 544-9021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054210LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Family Medicine CurrentSince Feb 16, 2021 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 16, 2021 Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Lanaster General Hospital Family Medicine Past Accepting new patients

Locations

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

445 N Reservoir St
#H
Lancaster, PA 17602
Phone (717) 544-9021

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

950 S Octorara Trl
#H
Parkesburg, PA 19365
Phone (717) 544-3737

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: mrast2219@direct-lghealth.org

Organizations & group practices 7

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1467480350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "address_2": "3RD FLOOR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAST",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD054210L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001491807 0008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "54821",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000257194",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50082755",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P002760",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "1046919",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000545636",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0739808000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080100812",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1190741",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "14808",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.