Active NPI
Marcelo Eduardo Rains, M.D.
- Pediatrics Physician
- Jackson, MS
National Provider Identifier
1023378494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23907
- Practice address
- 2500 North State Street
Ummc Neonatology
Jackson, MS 39216 - Phone
- (601) 984-1000
- NPI assigned
- May 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 35C.001315 | OH | |
| Pediatrics Physician | 208000000X | 23907 | MS | Primary |
Addresses
Primary practice location
2500 North State Street
Ummc Neonatology
Jackson, MS 39216
Mailing address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone (662) 627-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35C.001315 | OH | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Erlanger Health | Pediatrics | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Pediatrics | Current | Accepting new patients |
Locations
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 4
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
- Chattanooga, TN
- NPI 1154751931
Pediatrics
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1023378494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 HOSPITAL DR",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386147202",
"telephone_number": "662-627-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "UMMC NEONATOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINS",
"first_name": "MARCELO",
"middle_name": "EDUARDO",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-20",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OH",
"license": "35C.001315",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "23907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.