Active NPI
Susan C. Rayne, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
National Provider Identifier
1164404208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 100275
- Practice address
- 11133 Dunn Rd
Dept. of Pathology
Saint Louis, MO 63136-6119 - Phone
- (314) 653-5630
- Fax
- (314) 653-4099
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 100275 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 100275 | MO | Primary |
| Cytopathology Physician | 207ZC0500X | IL | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | IL |
Addresses
Primary practice location
11133 Dunn Rd
Dept. of Pathology
Saint Louis, MO 63136-6119
Mailing address
PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.13 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 85.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-113200 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 100275 | MO | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1164404208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144333",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328144333",
"telephone_number": "407-422-9831",
"fax_number": "407-648-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 DUNN RD",
"address_2": "DEPT. OF PATHOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366119",
"telephone_number": "314-653-5630",
"fax_number": "314-653-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNE",
"first_name": "SUSAN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MO",
"license": "100275",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "100275",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.