Individual provider Active NPI

Dominick A Rascona, MD

  • Pulmonary Disease Physician
  • Norfolk, VA
National Provider Identifier
1679540553
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101056691 Issued in VA
Practice address
600 Gresham Dr
Norfolk, VA 23507-1904
Phone
(757) 446-8920
Fax
(757) 624-2272
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101056691 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101056691 VA
Pulmonary Disease Physician 207RP1001X 0101056691 VA Primary

Addresses

Primary practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-0374

Other identifiers 15

IdentifierTypeStateIssuer
PAROtherVAVA HEALTH NETWORK
PAROtherVAUSA MANAGED CARE
PAROtherVAFIRST HEALTH COMMERCIAL
-029OtherVATRICARE/CHAMPUS
966125OtherVIUHC/MAMSI
450726OtherVAANTHEM BC'BS
005834511MedicaidVA
22640OtherVASENTARA/OPTIMA
790529QMedicaidNC
0529QOtherNCBC/BS
PAROtherVAMULTIPLAN
PAROtherVAVA PREMIER HEALTH
PAROtherVACIGNA
PAROtherVAAETNA
PAROtherVACORVEL/CORCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SD, MD, DC, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20080528000611 VA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Hospitalist 9032289491 Reassigns benefits to 3 organizations
I20170524002638 SD Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9032289491 Reassigns benefits to 1 organization
I20190617000906 MD Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9032289491 Reassigns benefits to 2 organizations
I20200421000680 DC Practitioner - Pulmonary Disease 9032289491 Reassigns benefits to 1 organization
I20200902002166 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032289491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056691VAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Apr 18, 2017 Accepting new patients
Proctor Health Systems Internal Medicine CurrentSince Jun 24, 2020 Accepting new patients
Proctor Health Systems CurrentSince Jun 24, 2020 Accepting new patients
Winchester Medical Center CurrentSince Dec 19, 2021 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince Jun 13, 2020 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Jun 23, 2020 Accepting new patients
Sanford Clinic Current Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Aug 14, 2021 Accepting new patients
Sanford Clinic CurrentSince Apr 18, 2017 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 13, 2020 Accepting new patients
Winchester Medical Center Critical Care Medicine CurrentSince Dec 19, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 29, 2020 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Aug 10, 2019 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Aug 10, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Union Memorial Hospital Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

9103 Franklin Square Dr
Ste 300
Baltimore, MD 21237
Phone (410) 574-3000

2401 W Belvedere Ave
Baltimore, MD 21215

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1838 Greene Tree Rd
Ste 420
Pikesville, MD 21208
Phone (410) 494-7920

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

220 Campus Blvd
Ste 100
Winchester, VA 22601

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1679540553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-446-0374",
            "fax_number": "757-624-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-446-8920",
            "fax_number": "757-624-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCONA",
        "first_name": "DOMINICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056691",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101056691",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101056691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH COMMERCIAL",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-029",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/MAMSI",
            "identifier": "966125",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC'BS",
            "identifier": "450726",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005834511",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "22640",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790529Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0529Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.