Individual provider Active NPI

Rachel Marie Mast, D.O.

  • Internal Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1952552812
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34010242 Issued in OH
Practice address
2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827
Phone
(937) 429-0607
Fax
(937) 702-9041
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34010242 OH Primary

Addresses

Primary practice location

2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827

Mailing address

2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827
Phone (937) 429-0607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110909002523 OH Practitioner - Internal Medicine 4587834155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Osteopathic HospitalGroup PAC ID 7618878877, 34 clinicians
Internal Medicine Care, IncGroup PAC ID 8527959113, 8 clinicians

Practice addresses (Care Compare)

165 Edwin C Moses Blvd
Cassano Comm HLTH CT
Dayton, OH 45407
Phone (937) 396-8150

2633 Commons Blvd
Suite 120
Beavercreek, OH 45431-3827
Phone (937) 429-0607

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2012 Accepting new patients
Internal Medicine Care, Inc Internal Medicine CurrentSince Aug 12, 2011 Accepting new patients
Internal Medicine Care, Inc Internal Medicine CurrentSince Aug 12, 2011 Accepting new patients
Dayton Osteopathic Hospital Current Accepting new patients
Internal Medicine Care, Inc Internal Medicine Current Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2012 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

2510 Commons Blvd
Ste 210
Beavercreek, OH 45431
Phone (937) 558-3062

2633 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 427-7540

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

1989 Miamisburg Centerville Rd
Ste 304
Dayton, OH 45459
Phone (937) 223-6837

1989 Miamisburg Centerville Rd
Ste 204
Dayton, OH 45459
Phone (937) 384-6822

165 S Edwin C Moses Blvd
Ste 100
Dayton, OH 45402
Phone (937) 535-5060

1989 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (513) 438-6550

Interoperability endpoints

  • Direct secure messaging: rachel.mast.1@442.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1952552812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-429-0607",
            "fax_number": "937-702-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-429-0607",
            "fax_number": "937-702-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34010242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.