Individual provider Active NPI

R Richard Rasmussen, MD

  • Surgery Physician
  • Provo, UT
National Provider Identifier
1528008588
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2830291205 Issued in UT
Practice address
1055 N 300 W
Ste 302
Provo, UT 84604-3344
Phone
(801) 852-3461
Fax
(801) 852-3459
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2830291205 UT Primary

Addresses

Primary practice location

1055 N 300 W
Ste 302
Provo, UT 84604-3344

Mailing address

3550 N University Ave
Ste 250
Provo, UT 84604
Phone (801) 374-9625

Other identifiers 1

IdentifierTypeStateIssuer
87051626Y009MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address r.richard.rasmussen@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20100329001196 UT Practitioner - General Surgery 9234265224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Utah School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Utah Surgical Associates IncGroup PAC ID 4486686698, 48 clinicians

Practice addresses (Care Compare)

1034 N 500
Uvh Psych Dept
Provo, UT 84604-3380
Phone (801) 357-7850

3550 N University Ave
Suite 250
Provo, UT 84604-6685
Phone (801) 374-9625

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)17
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2830291205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Surgical Associates, Inc. CurrentSince Jul 1, 2003 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 7, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 7, 2020 Accepting new patients
Ihc Health Services Inc Surgery Current Accepting new patients
Granite Peaks Gi, LLC Past Accepting new patients

Locations

1248 E 90 N
Ste 102
American Fork, UT 84003
Phone (801) 756-9132

3000 N Triumph Blvd
Ste 250
Lehi, UT 84043
Phone (801) 619-9000

15 S 1000 E
Ste 350
Payson, UT 84651
Phone (801) 465-5602

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

3550 N University Ave
Ste 250
Provo, UT 84604
Phone (801) 374-9625

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

1055 N 300 W
Ste 101
Provo, UT 84604
Phone (801) 852-3459

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

692 E Market Place Dr
Ste 202
Spanish Fork, UT 84660
Phone (801) 852-3230

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: usapro.rrichardrasmussen@143148.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1528008588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE",
            "address_2": "STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "STE 302",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-852-3461",
            "fax_number": "801-852-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "R",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "2830291205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87051626Y009",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r.richard.rasmussen@direct.imail.org",
            "affiliation": "N",
            "address_1": "1055 N 300 W",
            "address_2": "Ste 302",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.