Organization Active NPI

Louis J Raso M D P a

  • Interventional Pain Medicine Physician
  • Jupiter, FL
National Provider Identifier
1528183696
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME57349 Issued in FL
Legal business name
LOUIS J RASO M D P A
Practice address
2141 S Alternate A1A Ste 110
Jupiter, FL 33477-4063
Phone
(561) 741-1588
Fax
(561) 741-1123
NPI assigned
Mar 20, 2007
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Louis J. Raso, M.D.NPI 1538167408
Title
Owner
Phone
(561) 741-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME57349 FL Primary

Addresses

Primary practice location

2141 S Alternate A1A Ste 110
Jupiter, FL 33477-4063

Mailing address

2141 S Alternate A1A Ste 110
Jupiter, FL 33477-4063
Phone (561) 741-1588

Other identifiers 4

IdentifierTypeStateIssuer
11358OtherFLBCBS OF FLORIDA
4323668OtherFLAETNA
063392500MedicaidFL
ME57349OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080422000829 FL Part B Supplier - Clinic/Group Practice 5890873467 Receives reassigned benefits from 2 practitioners
Practice locations: West Palm Beach, FL; Palm Beach Gardens, FL; Jupiter, FL
O20131113000092 FL DME Supplier - Physician - Interventional Pain Management 5890873467 Practice locations: Jupiter, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1097488Louis J Raso2141 S Alternate A1A Ste 110, Jupiter, FL 33477Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1528183696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-741-1588",
            "fax_number": "561-741-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-741-1588",
            "fax_number": "561-741-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J RASO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "RASO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-741-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME57349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "11358",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4323668",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063392500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME57349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.