Active NPI
Mark A Rasmus, MD-PULM/SM
- Specialist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M-9630
- Practice address
- 7272 Potomac
Boise, ID 83704 - Phone
- (208) 884-2922
- Fax
- (208) 463-3044
- NPI assigned
- Feb 2, 2007
- Last updated
- May 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M-9630 | ID | Primary |
| Internal Medicine Physician | 207R00000X | M9630 | ID |
Addresses
Primary practice location
7272 Potomac
Boise, ID 83704
Mailing address
215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 463-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807530600 | Medicaid | ID | |
| 000010157357 | Other | ID | BLUE SHIELD |
| 76944 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7272 W Potomac Dr
Boise, ID 83704-9149
Phone (208) 884-2922
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9630 | ID | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Wake Idaho PLLC | Sleep Medicine | Current | Accepting new patients |
| Southern Idaho Health Partners LLC | Current | Accepting new patients | |
| Tooele Clinic Corp | Internal Medicine | Past | Accepting new patients |
| Idaho Pulmonary Associates, PA | Pulmonary Disease | Past | Accepting new patients |
Locations
7272 W Potomac Dr
Boise, ID 83704
Phone (208) 884-2922
215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234
217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234
4403 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4960
Organizations & group practices 4
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.
-
dba Everything Sleep Idaho
- Sleep Medicine (Internal Medicine) Physician
- Boise, ID
- NPI 1700642683
-
dba Saltzer Clinics
- General Practice Physician
- Meridian, ID
- NPI 1952701401
-
- Pulmonary Disease Physician
- Boise, ID
- NPI 1679797468
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1528106309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E HAWAII AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866011",
"telephone_number": "208-463-3000",
"fax_number": "208-463-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 POTOMAC",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-884-2922",
"fax_number": "208-463-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUS",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD-PULM/SM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "M-9630",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M9630",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807530600",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010157357",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "76944",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.