Individual provider Active NPI

Matthew Rahrig, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mount Vernon, OH
National Provider Identifier
1003163403
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35.131544 Issued in OH
Practice address
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone
(740) 393-9866
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125061965 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.131544 OH Primary

Addresses

Primary practice location

1330 Coshocton Ave
Mount Vernon, OH 43050

Mailing address

123 E Crawford St
Findlay, OH 45840-4802

Other practice location 1

715 Richland Mall
Ontario, OH 44906-3802
Phone (419) 462-4547

Other practice location 2

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 462-4547

Other practice location 3

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 393-9866

Other practice location 4

130 Hill St
Bucyrus, OH 44820-1511
Phone (419) 462-4547

Other practice location 5

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 702-1000

Other practice location 6

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 462-4547

Other practice location 7

130 Hill St
Bucyrus, OH 44820-1511
Phone (419) 462-4547

Other practice location 8

715 Richland Mall
Ontario, OH 44906-3802
Phone (419) 462-4547

Other identifiers 1

IdentifierTypeStateIssuer
229799MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190227000060 MO Practitioner - AnesthesiologyPractitioner - Pain Management 3476856618 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pain Management LLCGroup PAC ID 5890922066, 24 clinicians

Practice addresses (Care Compare)

851 E 5TH St
226 Mercy Spine and Pain Services Was
Washington, MO 63090-3129
Phone (636) 239-8562

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Lincoln Current Accepting new patients
Mercy Hospital Lincoln Anesthesiology Current Accepting new patients
Mercy Clinic Pain Management, LLC Pain Medicine CurrentSince Mar 9, 2019 Accepting new patients
Pain Management Group PLLC Past Accepting new patients

Locations

15945 Clayton Rd
Ste 220
Ballwin, MO 63011
Phone (314) 487-9300

15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097

300 Winding Woods Dr
Ste 206
O Fallon, MO 63366
Phone (636) 239-8097

12700 Southfork Rd
Ste 153
Saint Louis, MO 63128
Phone (314) 543-5283

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1326 S Service Rd W
Ste 30
Sullivan, MO 63080
Phone (314) 543-5999

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

851 E 5th St
Ste 226
Washington, MO 63090
Phone (636) 239-8097

851 E 5th St
Ste 208
Washington, MO 63090
Phone (636) 239-7500

Networks

  • IA HMO C-SNP
  • IL PPO Downstate
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1003163403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E CRAWFORD ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458404802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-393-9866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "419-462-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-462-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Coshocton Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430501440",
            "country_code": "US",
            "telephone_number": "740-393-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Hill St",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201511",
            "country_code": "US",
            "telephone_number": "419-462-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-462-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Hill St",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201511",
            "country_code": "US",
            "telephone_number": "419-462-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "419-462-4547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHRIG",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125061965",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.131544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.