Active NPI
Ronald Lee Rasberry Jr., M.D.
- Family Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME135229
- Practice address
- 1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986 - Phone
- (772) 785-5570
- Fax
- (772) 785-5553
- NPI assigned
- Apr 13, 2015
- Last updated
- Jun 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME135229 | FL | Primary |
Addresses
Primary practice location
1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 781-2799
Other practice location 1
Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-0001
Phone (570) 271-6211
Other practice location 2
Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-0001
Phone (570) 271-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5EGYY | Other | FL | FLORIDA BLUE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2150 SE Salerno Rd
Suite 200
Stuart, FL 34997-6572
Phone (772) 228-5862
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500
1095 NW Saint Lucie West Blvd
#L
Port St Lucie, FL 34986
Phone (772) 785-5595
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2150 SE Salerno Rd
Ste 200
Stuart, FL 34997
Phone (772) 223-5757
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 286-5007
Interoperability endpoints
- rrasberry2500885@direct.ccf.org
Organizations & group practices 2
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Home Healthcare
- Home Health Agency
- Port St Lucie, FL
- NPI 1831365253
-
dba Enhabit Home Health of Jupiter Medical Center
- Home Health Agency
- Jupiter, FL
- NPI 1780635540
-
dba Concierge Home Care
- Home Health Agency
- Port St Lucie, FL
- NPI 1184222549
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Pinnacle Home Care
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
-
- Home Health Agency
- Stuart, FL
- NPI 1104829696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1861888133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-781-2799",
"fax_number": "772-781-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 NW SAINT LUCIE WEST BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34986",
"telephone_number": "772-785-5570",
"fax_number": "772-785-5553"
}
],
"practiceLocations": [
{
"address_1": "Geisinger Medical Center 100 North Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220001",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Geisinger Medical Center 100 North Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220001",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASBERRY",
"first_name": "RONALD",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-13",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME135229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "5EGYY",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.