Active NPI
Tracy Rau, MD
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101286180
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7606 - Phone
- (718) 590-1800
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101286180 | VA | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7606
Mailing address
990 McLynn Ave NE
Atlanta, GA 30306-3345
Phone (404) 983-3165
Other practice location 1
102 Fairview Dr Ste B
Franklin, VA 23851-1206
Phone (757) 562-2158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
102 Fairview Dr
Franklin, VA 23851-1206
1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130
3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101286180 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Primary Care LLC | Current | Accepting new patients |
Locations
102 Fairview Dr
Ste B
Franklin, VA 23851
Phone (757) 562-2158
3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225
Networks
- TN PPO C-SNP
- KY PPO
- KY PPO C-SNP
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- TN PPO
Interoperability endpoints
- trau2960012@direct.bsmhealth.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1528627379
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, VA
- NPI 1851936983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1003551102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 MCLYNN AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303063345",
"telephone_number": "404-983-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-590-1800"
}
],
"practiceLocations": [
{
"address_1": "102 Fairview Dr Ste B",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "VA",
"postal_code": "238511206",
"country_code": "US",
"telephone_number": "757-562-2158",
"fax_number": "757-516-8019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAU",
"first_name": "TRACY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101286180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.