NPIMap

Individual provider Active NPI

Rasmiyah Majdy Jastan, MD

  • Family Medicine Physician
  • Abingdon, VA
National Provider Identifier
1740474527
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101251591 Issued in VA
Practice address
613 Campus Dr
Suite 200
Abingdon, VA 24210
Phone
(276) 628-1186
Fax
(276) 628-8507
NPI assigned
Sep 5, 2007
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46373 TN
Family Medicine Physician 207Q00000X 0101251591 VA Primary

Addresses

Primary practice location

613 Campus Dr
Suite 200
Abingdon, VA 24210

Mailing address

613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Phone (276) 628-1186

Other practice location 1

24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665
Phone (276) 619-0075

Other identifiers 4

IdentifierTypeStateIssuer
431560263OtherTRICARE WEST
1520781MedicaidTN
1740474527MedicaidVA
P00735774OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101102000908 TN Practitioner - Family Practice 2365595493 Reassigns benefits to 2 organizations
I20130401000279 VA Practitioner - Family PracticePractitioner - Internal Medicine 2365595493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

1205 Snider St
B
Marion, VA 24354-4221
Phone (276) 258-1777

378 Marketplace Dr
Suite 5
Johnson City, TN 37604-2361
Phone (423) 282-0751

613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Phone (276) 628-1186

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46373TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Mar 11, 2014 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 15, 2014 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
Mountain States Health Alliance Family Medicine CurrentSince May 18, 2021 Accepting new patients
Abingdon Physician Partners CurrentSince Nov 1, 2014 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Mountain States Health Alliance Family Medicine CurrentSince May 18, 2021 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Mar 11, 2014 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

16000 Johnston Memorial Dr
Ste 200
Abingdon, VA 24211
Phone (276) 258-1000

24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

613 Campus Dr
Ste 200
Abingdon, VA 24210
Phone (276) 628-1186

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

103 North St
Bristol, VA 24201
Phone (276) 642-7901

344 Overlook Dr
Ste 100
Lebanon, VA 24266
Phone (276) 883-5939

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

16431 Wise St
Saint Paul, VA 24283
Phone (276) 762-2300

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1740474527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR",
            "address_2": "SUITE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109703",
            "telephone_number": "276-628-1186",
            "fax_number": "276-628-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR",
            "address_2": "SUITE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24210",
            "telephone_number": "276-628-1186",
            "fax_number": "276-628-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24530 Falcon Place Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117665",
            "country_code": "US",
            "telephone_number": "276-619-0075",
            "fax_number": "276-619-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASTAN",
        "first_name": "RASMIYAH",
        "middle_name": "MAJDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46373",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101251591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520781",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740474527",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00735774",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.