Individual provider Active NPI

Robert G. Morasch, M.D.

  • Family Medicine Physician
  • Walla Walla, WA
National Provider Identifier
1669478137
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041082 Issued in WA
Practice address
1622 Howard St
Walla Walla, WA 99362-4153
Phone
(509) 520-5520
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00041082 WA Primary

Addresses

Primary practice location

1622 Howard St
Walla Walla, WA 99362-4153

Mailing address

1644 Plaza Way # 427
Walla Walla, WA 99362-4325
Phone (949) 933-9644

Other practice location 1

1129 S 2nd Ave Ste B
Walla Walla, WA 99362-4100
Phone (509) 520-5520

Other identifiers 1

IdentifierTypeStateIssuer
0236040OtherWAL&I

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmorasch186120@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080625000086 WA Practitioner - Family PracticePractitioner - Emergency Medicine 3375612245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1129 S 2ND Ave
Suite B
Walla Walla, WA 99362-4100
Phone (509) 520-5520

Hospital & facility affiliations

  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Providence at Home With Compassus Home Health, Walla Walla Home health agency, Walla Walla, WA, CCN 507034
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • Dayton General Hospital Hospital, Dayton, WA, CCN 501302
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Park Manor Rehabilitation Ctr Nursing home, Walla Walla, WA, CCN 505074

Merit-based Incentive Payment System (MIPS)

Final score
56.09 of 100Reported as group
Quality
28.49
Promoting interoperability
100
Improvement activities
0
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions25
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00041082WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morasch Medical, PC Family Medicine CurrentSince Aug 10, 2023 Accepting new patients
Seleverstov Medical, P.C. PastSince Feb 2, 2025 Accepting new patients

Locations

1622 Howard St
Walla Walla, WA 99362
Phone (509) 520-5520

1644 Plaza Way
Walla Walla, WA 99362
Phone (206) 605-6329

1129 S 2nd Ave
Ste B
Walla Walla, WA 99362
Phone (509) 382-7002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIGBDD/Endpoint/CIGBDD

Organizations & group practices 2

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1669478137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 PLAZA WAY # 427",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624325",
            "telephone_number": "949-933-9644",
            "fax_number": "888-571-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HOWARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624153",
            "telephone_number": "509-520-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 S 2nd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624100",
            "country_code": "US",
            "telephone_number": "509-520-5520",
            "fax_number": "888-571-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORASCH",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0236040",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmorasch186120@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1017 S 2nd Ave Ste 1",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993624183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.