Individual provider Active NPI

Raelina S Howell, M.D.

  • Surgery Physician
  • Buckhannon, WV
National Provider Identifier
1003172644
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34461 Issued in WV
Practice address
1 Amalia Dr
Buckhannon, WV 26201-2239
Phone
(304) 473-2000
Fax
(304) 473-2057
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34461 WV Primary

Addresses

Primary practice location

1 Amalia Dr
Buckhannon, WV 26201-2239

Mailing address

1 Childrens PL
Saint Louis, MO 63110-1081
Phone (314) 454-6000

Other practice location 1

301 Gordon Gutmann Blvd Ste 401
Jeffersonville, IN 47130-3768
Phone (812) 282-0637

Other practice location 2

1461 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-8592

Other practice location 3

1373 E State Road 62 Ste 2C
Madison, IN 47250-7328
Phone (812) 801-0840

Other practice location 4

1 Childrens Pl
Saint Louis, MO 63110-1081
Phone (314) 454-6000

Other identifiers 2

IdentifierTypeStateIssuer
7101076800MedicaidKY
300079514MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MS2 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
I20241210004745 WV Practitioner - General Surgery 6103352430 Reassigns benefits to 1 organization
I20250304000306 MS Practitioner - General Surgery 6103352430 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Healthcare LLC CurrentSince Feb 4, 2025 Accepting new patients
Porter Physician Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Surgery CurrentSince Jul 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Feb 4, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
River Region Health System Surgery Past Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

301 Gordon Gutmann Blvd
Ste 401
Jeffersonvlle, IN 47130
Phone (812) 282-0637

1373 E State Road 62
#2
Madison, IN 47250
Phone (812) 801-0300

1373 E State Road 62
Ste 2C
Madison, IN 47250
Phone (812) 801-0840

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1003172644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101081",
            "telephone_number": "314-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMALIA DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012239",
            "telephone_number": "304-473-2000",
            "fax_number": "304-473-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Gordon Gutmann Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303768",
            "country_code": "US",
            "telephone_number": "812-282-0637",
            "fax_number": "812-283-6330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1461 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471707751",
            "country_code": "US",
            "telephone_number": "812-752-8592",
            "fax_number": "812-283-6330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1373 E State Road 62 Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0840",
            "fax_number": "812-801-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101081",
            "country_code": "US",
            "telephone_number": "314-454-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "RAELINA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "34461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101076800",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300079514",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

Verify at the official NPI Registry.