Individual provider Active NPI

Andrew Mark Rashkow, MD

  • Cardiovascular Disease Physician
  • Newport News, VA
National Provider Identifier
1811974207
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101266014 Issued in VA
Practice address
500 J Clyde Morris Blvd FL Annex1
Newport News, VA 23601
Phone
(757) 594-2074
Fax
(757) 594-3369
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 22729 CT
Cardiovascular Disease Physician 207RC0000X MD213362 OR
Interventional Cardiology Physician 207RI0011X TL912 WY
Interventional Cardiology Physician 207RI0011X 11209 MT
Interventional Cardiology Physician 207RI0011X 7814A WY
Cardiovascular Disease Physician 207RC0000X 0101266014 VA Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd FL Annex1
Newport News, VA 23601

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

424 Yellowstone Ave
Ste 230
Cody, WY 82414
Phone (307) 578-2980

Other practice location 2

24900 SE Stark St Ste 109
Gresham, OR 97030-3381
Phone (503) 413-7162

Other identifiers 2

IdentifierTypeStateIssuer
060001551MedicaidCT
1811974207MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20241125003806 OR Practitioner - Cardiovascular Disease (Cardiology) 4486551934 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD213362ORMDCardiovascular Disease Physician
11209MTMDInterventional Cardiology Physician
TL912WYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Dec 27, 2024 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Nov 20, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 27, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 27, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 27, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 27, 2024 Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Andrew Rashkow MD PC Interventional Cardiology PastSince Jan 15, 2004 Accepting new patients

Locations

24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015

24900 SE Stark St
Ste 202
Gresham, OR 97030
Phone (503) 465-8887

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

Interoperability endpoints

  • Direct secure messaging: arashkow2836339@wm.providencedirect.org
  • Direct secure messaging: andrew.rashkow@xdr.hhchealthdirect.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1811974207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD FL ANNEX1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23601",
            "telephone_number": "757-594-2074",
            "fax_number": "757-594-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Yellowstone Ave",
            "address_2": "Ste 230",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "82414",
            "country_code": "US",
            "telephone_number": "307-578-2980",
            "fax_number": "307-578-2979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24900 SE Stark St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303381",
            "country_code": "US",
            "telephone_number": "503-413-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHKOW",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "22729",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD213362",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WY",
            "license": "TL912",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "11209",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WY",
            "license": "7814A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101266014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060001551",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811974207",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.