Individual provider Active NPI

Todd Coleman Rau, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Redlands, CA
National Provider Identifier
1023030319
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A91332 Issued in CA
Practice address
1467 Ford St Ste 101
Redlands, CA 92373-3911
Phone
(909) 792-1100
Fax
(909) 792-1128
NPI assigned
Jul 24, 2006
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A91332 CA
Plastic and Reconstructive Surgery Physician 2086S0122X A91332 CA Primary

Addresses

Primary practice location

1467 Ford St Ste 101
Redlands, CA 92373-3911

Mailing address

1467 Ford St Ste 101
Redlands, CA 92373-3911
Phone (909) 792-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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
I20051128000318 CA Practitioner - Plastic and Reconstructive Surgery 7810927001 Practice locations: Redlands, CA
I20220317002084 CA Practitioner - Plastic and Reconstructive Surgery 7810927001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1467 Ford St
Suite 101
Redlands, CA 92373-3911
Phone (909) 792-1100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91332CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd C Rau MD Inc Plastic and Reconstructive Surgery CurrentSince Oct 11, 2021 Accepting new patients
Jennifer Hayhurst Physician Assistant Apc CurrentSince Jul 31, 2023 Accepting new patients

Locations

1467 Ford St
Ste 101
Redlands, CA 92373
Phone (909) 551-3376

17 S 5th St
Redlands, CA 92373
Phone (909) 519-4788

17 S 5th St
Ste D
Redlands, CA 92373
Phone (909) 551-3376

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1023030319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733911",
            "telephone_number": "909-792-1100",
            "fax_number": "909-792-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733911",
            "telephone_number": "909-792-1100",
            "fax_number": "909-792-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "TODD",
        "middle_name": "COLEMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A91332",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A91332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.