Individual provider Active NPI

Glenn Andrew Rauscher, DO

  • Diagnostic Radiology Physician
  • Portsmouth, VA
National Provider Identifier
1063878783
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A15774 Issued in CA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-0669
NPI assigned
Jan 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.016514 OH
Diagnostic Radiology Physician 2085R0202X 0102207979 VA
Diagnostic Radiology Physician 2085R0202X 20A15774 CA Primary
Diagnostic Radiology Physician 2085R0202X 25MB12700100 NJ

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Other practice location 1

34800 Bob Wilson Dr
San Diego, CA 92134
Phone (619) 532-8666

Other practice location 2

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 3

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 339-6054

Other practice location 4

PO Box 555412
Camp Pendleton, CA 92055-5412
Phone (760) 763-1405

Other practice location 5

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 6

34800 Bob Wilson Dr
San Diego, CA 92134
Phone (619) 532-8666

Other practice location 7

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 432-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, NJ, CA, NC, TN6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230908002312 OH Practitioner - Diagnostic Radiology 8921392770 Reassigns benefits to 1 organization
I20230922000323 VA Practitioner - Diagnostic Radiology 8921392770 Reassigns benefits to 22 organizations
I20250905003057 NJ Practitioner - Diagnostic Radiology 8921392770 Reassigns benefits to 3 organizations
I20250925003654 CA Practitioner - Diagnostic Radiology 8921392770 Reassigns benefits to 2 organizations
I20260402000033 NC Practitioner - Diagnostic Radiology 8921392770 Reassigns benefits to 1 organization
I20260429000984 TN Practitioner - Diagnostic Radiology 8921392770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Placerville Radiology Medical Group IncGroup PAC ID 0143382374, 62 clinicians
Fullerton Radiology Medical Group IncGroup PAC ID 4587632575, 55 clinicians
Los Alamitos Radiology Group IncGroup PAC ID 5092718882, 69 clinicians
Peninsula Radiological Associates LimitedGroup PAC ID 5991603573, 64 clinicians
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians
X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

128 Harrops GLN
Williamsburg, VA 23185-5599
Phone (888) 488-7239

3387 Village Square PL
Suffolk, VA 23435-1374
Phone (530) 626-2613

37896 Legard Farm Rd
Hillsboro, VA 20132-3610
Phone (562) 598-1311

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8856

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 266-1490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15774CAMDDiagnostic Radiology Physician
25MB12700100NJMDDiagnostic Radiology Physician
34.016514OHMDDiagnostic Radiology Physician
0102207979VAMDDiagnostic Radiology Physician
15774CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Placerville Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 10, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc General Practice CurrentSince Apr 1, 2026 Accepting new patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Mar 7, 2025 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Capital Health Multispecialty Group Diagnostic Radiology CurrentSince Sep 9, 2025 Accepting new patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Aug 28, 2025 Accepting new patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Contemporary Diagnostic Imaging, LLC CurrentSince Oct 23, 2025 Accepting new patients
County of San Joaquin CurrentSince Aug 12, 2025 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
X-Ray Associates of Louisville PSC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince May 13, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 21, 2026 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
County of San Joaquin CurrentSince Aug 12, 2025 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Valley Physician Services PC CurrentSince Jul 2, 2025 Accepting new patients
Los Alamitos Radiology Group Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 28, 2025 Accepting new patients
Tsenovoy Medical PC Past Accepting new patients
Menalam Health Services PC Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Past Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 39)

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

250 Cherry Ln
Ste 116
Manteca, CA 95337
Phone (209) 647-4684

1401 Spanos Ct
Ste 127
Modesto, CA 95355
Phone (209) 525-3835

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

Dept LA 21705
Pasadena, CA 91185

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128
Phone (855) 835-3723

2190 Lynn Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 373-8878

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

55 Meadowlands Pkwy
Ste 200
Secaucus, NJ 07094
Phone (201) 392-3100

Interoperability endpoints

  • Direct secure messaging: grauscher153717@direct.whhs.com

Organizations & group practices 39

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.

View all 39

Hospital & facility affiliations 5

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1063878783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92134",
            "country_code": "US",
            "telephone_number": "619-532-8666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-339-6054",
            "fax_number": "856-935-6714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 555412",
            "address_purpose": "LOCATION",
            "city": "Camp Pendleton",
            "state": "CA",
            "postal_code": "920555412",
            "country_code": "US",
            "telephone_number": "760-763-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92134",
            "country_code": "US",
            "telephone_number": "619-532-8666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-432-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSCHER",
        "first_name": "GLENN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.016514",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102207979",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A15774",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB12700100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.