Active NPI
Bradley Don Rasmussen, M.D.
- Dermatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 27555
- Practice address
- 4425 E Agave Rd
Suite 148
Phoenix, AZ 85044-0619 - Phone
- (480) 704-7546
- Fax
- (480) 704-7549
- NPI assigned
- Jul 4, 2006
- Last updated
- Nov 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5663814-1205 | UT | |
| Dermatology Physician | 207N00000X | 27555 | AZ | Primary |
Addresses
Primary practice location
4425 E Agave Rd
Suite 148
Phoenix, AZ 85044-0619
Mailing address
4425 E Agave Rd
Suite 148
Phoenix, AZ 85044-0619
Phone (480) 704-7546
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
- Dermatology
- Education
- George Washington University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14275 N 87TH St
Suite 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 82.26
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 76.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 196 |
| Removal of skin lesions | 1703 |
| Removal or shaving of skin growth | 157 |
| Skin biopsy | 590 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27555 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Center for Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Center for Dermatology, PLLC | Past | Accepting new patients | |
| Scottsdale Center for Sight, PLC | Past | Accepting new patients | |
| All Dermatology, Inc. | Dermatology | Past | Accepting new patients |
Locations
16838 E Palisades Blvd
Ste B124
Fountain Hills, AZ 85268
Phone (480) 272-6290
14275 N 87th St
Ste 109110
Scottsdale, AZ 85260
14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501
10440 E Riggs Rd
Ste 160
Sun Lakes, AZ 85248
Phone (480) 505-2450
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona Dermatology
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- Scottsdale, AZ
- NPI 1194792416
-
- Multi-Specialty Clinic/Center
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- NPI 1942325154
-
dba Comprehensive Care Clinic Murray
- Cardiovascular Disease Physician
- Murray, UT
- NPI 1316373087
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Medical Physician Assistant
- Scottsdale, AZ
- NPI 1174062673
-
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1265591374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1942230925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 E AGAVE RD",
"address_2": "SUITE 148",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850440619",
"telephone_number": "480-704-7546",
"fax_number": "480-704-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 E AGAVE RD",
"address_2": "SUITE 148",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850440619",
"telephone_number": "480-704-7546",
"fax_number": "480-704-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "BRADLEY",
"middle_name": "DON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "UT",
"license": "5663814-1205",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "27555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.