Individual provider Active NPI

Jack Edward Rashkin, MD

  • Pulmonary Disease Physician
  • Safety Harbor, FL
National Provider Identifier
1851399885
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME46236 Issued in FL
Practice address
1840 Mease Dr
Suite 400
Safety Harbor, FL 34695-6602
Phone
(727) 725-6128
Fax
(727) 725-6168
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME46236 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 400
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr
Suite 400
Safety Harbor, FL 34695-6602
Phone (727) 725-6128

Other identifiers 1

IdentifierTypeStateIssuer
044628900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051215000208 FL Practitioner - Pulmonary Disease 0749200038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory Specialists LLCGroup PAC ID 9234156092, 16 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 307
Safety Harbor, FL 34695-6605
Phone (727) 725-6128

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46236FLMDEmergency Medicine Physician
ME46236FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Nov 6, 2017 Accepting new patients
Respiratory Specialists LLC Pulmonary Disease CurrentSince Dec 1, 2005 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 6, 2017 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

3131 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 341-0551

34041 US Highway 19 N
Ste C
Palm Harbor, FL 34684
Phone (727) 281-9649

1840 Mease Dr
Ste 307
Safety Harbor, FL 34695
Phone (727) 725-6128

1840 Mease Dr
Ste 400
Safety Harbor, FL 34695
Phone (727) 725-6128

1840 Mease Dr
Safety Harbor, FL 34695
Phone (727) 376-7734

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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 3

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1851399885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 400",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-725-6128",
            "fax_number": "727-725-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 400",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-725-6128",
            "fax_number": "727-725-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHKIN",
        "first_name": "JACK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME46236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044628900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.