Active NPI
Goran Rac, M.D.
- Urology Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 89655
- Practice address
- 222 E Medical LN Ste 101
West Columbia, SC 29169-4850 - Phone
- (803) 739-3660
- Fax
- (803) 739-3663
- NPI assigned
- Apr 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL39663 | SC | |
| Urology Physician | 208800000X | 036155296 | IL | |
| Urology Physician | 208800000X | 89655 | SC | Primary |
Addresses
Primary practice location
222 E Medical LN Ste 101
West Columbia, SC 29169-4850
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2000
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | grac142602@direct.luhs.org | Other | |
| Direct Messaging Address | grac166288@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Urology
- Education
- Medical University of South Carolina College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Summit Centre Dr
Columbia, SC 29229-7613
Phone (803) 382-2450
1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660
1526 Lake Murray Blvd
Columbia, SC 29212-8622
Phone (803) 749-1155
222 E Medical LN
Suite 101
West Columbia, SC 29169-4850
Phone (803) 739-3660
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460
3016 Longtown Commons Dr
Columbia, SC 29229-7849
557 Columbia Ave
Chapin, SC 29036-8324
565 Columbia Ave
Chapin, SC 29036-8324
707 Old Cherokee Rd
Lexington, SC 29072-9040
Phone (803) 314-9110
76 Polo Rd
Columbia, SC 29223-2806
Phone (803) 699-7255
811 W Main St
Lexington, SC 29072-2500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL39663 | SC | MD | Surgery Physician |
| 89655 | SC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Urology | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
222 E Medical Ln
Ste 101
West Columbia, SC 29169
Phone (803) 739-3660
Interoperability endpoints
- grac166288@direct.lexmed.com
Organizations & group practices 6
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.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Lexington Medical Center Irmo
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1104271980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-791-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E MEDICAL LN STE 101",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694850",
"telephone_number": "803-739-3660",
"fax_number": "803-739-3663"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAC",
"first_name": "GORAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL39663",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036155296",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "89655",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "grac142602@direct.luhs.org",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "grac166288@direct.lexmed.com",
"affiliation": "N",
"address_1": "222 E Medical Ln Ste 101",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
- 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.