Individual provider Active NPI

Jon A Raso, M.D.

  • Internal Medicine Physician
  • Mount Bethel, PA
National Provider Identifier
1609080175
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD053686L Issued in PA
Practice address
10 Mount Bethel PLZ
Mount Bethel, PA 18343-5212
Phone
(570) 897-7559
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD053686L PA Primary

Addresses

Primary practice location

10 Mount Bethel PLZ
Mount Bethel, PA 18343-5212

Mailing address

PO Box 43
#10 Mount Bethel Plaza
Mount Bethel, PA 18343-0043
Phone (570) 897-7559

Other identifiers 5

IdentifierTypeStateIssuer
016578217OtherPAHIGHMARK BC BS
P853307OtherOXFORD
5843921OtherCIGNA HEALTHCARE
50017380OtherPACAPITAL BLUE CROSS
110130795OtherPALMETTO GBA - RAILROAD MEDICARE

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
I20080512000327 PA Practitioner - Internal MedicinePractitioner - General Practice 6901985241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

10 Mount Bethel PLZ
Mount Bethel, PA 18343-5212
Phone (570) 897-7559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 8, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 8, 2024 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Raso Medical Center, PC Internal Medicine Current Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

124 N 14th St
Easton, PA 18042
Phone (610) 258-9091

124 N 14th St
#J
Easton, PA 18042

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

10 Mount Bethel Plz
Mount Bethel, PA 18343
Phone (570) 897-7559

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1609080175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "#10 MOUNT BETHEL PLAZA",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183430043",
            "telephone_number": "570-897-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MOUNT BETHEL PLZ",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183435212",
            "telephone_number": "570-897-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASO",
        "first_name": "JON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053686L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "016578217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P853307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "5843921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50017380",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "110130795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Bethel, PA

Sources for this page

Verify at the official NPI Registry.