Active NPI
James A Rasmussen, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 4902809-1205
- Practice address
- 1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236 - Phone
- (801) 266-3418
- Fax
- (801) 266-4174
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4902809-1205 | UT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 65783 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 65783 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 4902809-1205 | UT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4902809-1205 | UT | Primary |
Addresses
Primary practice location
1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236
Mailing address
PO Box 967
Flagstaff, AZ 86002-0967
Phone (928) 773-0003
Other practice location 1
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 773-0003
Other practice location 2
1360 N Rim Dr
Flagstaff, AZ 86001-3111
Phone (928) 774-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109797 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4902809-1205 | UT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Multi-Specialty | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Multi-Specialty | Current | Accepting new patients |
| Flagstaff Pathology Associates | Multi-Specialty | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Physician Group of Utah Inc | Specialist | Past | Accepting new patients |
| Verde Valley Medical Center | Multi-Specialty | Past | Accepting new patients |
| Flagstaff Intensive Care Specialists, PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
2635 N 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7049
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Multi-Specialty
-
dba Pathology Associates of Northern AZ
- Anatomic Pathology & Clinical Pathology Physician
- Flagstaff, AZ
- NPI 1306205612
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
Multi-Specialty
-
dba Northern Arizona Healthcare Children's Health Center
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Acute Care Nurse Practitioner
- Flagstaff, AZ
- NPI 1679018873
Multi-Specialty
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
Multi-Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guardian Medical Transport
- Land Ambulance
- Flagstaff, AZ
- NPI 1518143205
Hospital
-
dba FMC Behavioral Health Services
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
dba Little Colorado Medical Center
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1770661712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860020967",
"telephone_number": "928-773-0003",
"fax_number": "928-773-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E 3900 S STE 2000",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241236",
"telephone_number": "801-266-3418",
"fax_number": "801-266-4174"
}
],
"practiceLocations": [
{
"address_1": "1200 N Beaver St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013118",
"country_code": "US",
"telephone_number": "928-773-0003",
"fax_number": "928-773-1170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1360 N Rim Dr",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013111",
"country_code": "US",
"telephone_number": "928-774-8000",
"fax_number": "928-774-0372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "UT",
"license": "4902809-1205",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "65783",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "65783",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "UT",
"license": "4902809-1205",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "UT",
"license": "4902809-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109797",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.