Individual provider Active NPI

Bradley Don Rasmussen, M.D.

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1942230925
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27555 Issued in AZ
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040831001295 UT Practitioner - Dermatology 3274508486 Reassigns benefits to 1 organization
I20110223001065 AZ Practitioner - Dermatology 3274508486 Reassigns benefits to 1 organization

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
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

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 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision196
Removal of skin lesions1703
Removal or shaving of skin growth157
Skin biopsy590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27555AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 13, 2004 Accepting new patients
Center for Dermatology, PLLC Dermatology CurrentSince Nov 29, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 13, 2004 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Center for Dermatology, PLLC PastSince Nov 29, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.