Soubrata V Raikar, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

21157 Issued in NE

Practice address

1439 E 23Rd St
Fremont, NE 68025-2433

Phone

(402) 721-8895

Fax

(402) 721-6663

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Creighton University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Anesthesia P.C.Group PAC ID 9739152596, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDDDBD/Endpoint/IDDDBD

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.

• Midwest Anesthesia P.C.

  • Interventional Pain Medicine Physician
  • Fremont, NE
  • NPI 1316011315

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official
• Choice Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1295429496
  NPD Authorized official
• R Choice Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, NE
  • NPI 1356729636
  NPD Authorized official
• Basic Home Infusion, LLC

  • Home Infusion Therapy Pharmacy
  • Wayne, NJ
  • NPI 1679514509
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1154495125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-721-8895",
            "fax_number": "402-721-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-721-8895",
            "fax_number": "402-721-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIKAR",
        "first_name": "SOUBRATA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "21157",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "21157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025199800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Quinn
• R Choice Surgical Center LLC
• Paul Radtke, PLMHP, PLDAC
• Juli Marie Rahfeldt
• Rai Care Centers of Nebraska II, LLC
• Lindsay N Rasco
• Mason Dwight Rasmussen, DDS
• Bridget A Rath
• Kellie Jo Raue I
• Emily Reber

• Interventional Pain Medicine Physician in Fremont, NE
• Providers in Fremont, NE by specialty
• Interventional Pain Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.

Verify at the official NPI Registry.