NPIMap

Individual provider Active NPI

Racha Cassard, M.D.

  • Internal Medicine Physician
  • Wildwood, FL
National Provider Identifier
1508422809
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160162 Issued in FL
Practice address
4056 E State Road 44
Wildwood, FL 34785-7486
Phone
(352) 268-0003
Fax
(855) 642-1129
NPI assigned
May 13, 2019
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 160162 FL Primary

Addresses

Primary practice location

4056 E State Road 44
Wildwood, FL 34785-7486

Mailing address

Weill Cornell Medicine-Education City-Qatar Foundation
WCM-Qatar, Student Racha Cassard
Doha, DOHA 24144
QA

Other practice location 1

NYP Brooklyn Methodist Hospital
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825002074 FL Practitioner - Internal Medicine 0143683904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Tricounty Health LLCGroup PAC ID 0244565455, 5 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

4056 E Sr
Suite 44
Wildwood, FL 34785-7486
Phone (352) 268-0003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TCH Urgent Care LLC CurrentSince Oct 24, 2025 Accepting new patients
Tricounty Health LLC Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Cardiac and Vascular Consultants MD PA Past Accepting new patients

Locations

753 Highway 466
Lady Lake, FL 32159
Phone (321) 248-2666

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

17190 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 268-0003

17190 SE 109th Terrace Rd
Ste A
Summerfield, FL 34491
Phone (352) 268-0003

4056 E State Road 44
Wildwood, FL 34785
Phone (352) 268-0003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJGBD
  • Direct secure messaging: racha.cassard@tch.eclinicaldirectplus.com
  • Direct secure messaging: rcassard623879@direct.shands.ufl.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1508422809",
    "addresses": [
        {
            "country_code": "QA",
            "country_name": "Qatar",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "WEILL CORNELL MEDICINE-EDUCATION CITY-QATAR FOUNDATION",
            "address_2": "WCM-QATAR, STUDENT RACHA CASSARD",
            "city": "DOHA",
            "state": "DOHA",
            "postal_code": "24144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 E STATE ROAD 44",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857486",
            "telephone_number": "352-268-0003",
            "fax_number": "855-642-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "NYP Brooklyn Methodist Hospital",
            "address_2": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11215",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSARD",
        "first_name": "RACHA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "160162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.