DR. KASE TAYLOR RATTEY DPM
NPI 1225665631
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(617) 435-7272 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Dr. Kase Taylor Rattey Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KASE TAYLOR RATTEY DPM (NPI 1225665631) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2020).

NPPES Registry Identity

NPI1225665631
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KASE TAYLOR RATTEYCredential: DPM
Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer35San Diego, CA 92103-2105
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1225665631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4077 FIFTH AVE # MER35, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kase Taylor Rattey Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860847282
PECOS Enrollment IDI20231004003374
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kase Rattey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kase Rattey's NPI number?

The NPI number for Kase Rattey is 1225665631. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Kase Rattey located?

Kase Rattey practices at 4077 Fifth Ave # Mer35, San Diego, CA 92103. The listed phone number is (617) 435-7272.

What is Kase Rattey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kase Rattey enrolled in Medicare?

Yes. Kase Rattey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kase Rattey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kase Rattey reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kase Rattey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kase Rattey was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.