Daren J. Rauch, MD
Individual provider Active NPI Family Medicine Physician · Clinton, IL
NPI 1174544407 · NPPES record last updated Sep 28, 2007
Key facts
- NPI
- 1174544407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 1231 Kleemann Dr
Clinton, IL 61727-2633 - Phone
- (217) 935-5022
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint James Hospital
Osf Multi-Specialty Group
Practice addresses (Care Compare)
1231 Kleemann Dr
Clinton, IL 61727-2633
Phone (217) 935-5022
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828
Hospital & facility affiliations
- Osf Home Health-Eastern Region
- St Joseph Medical Center
- Saint James Hospital
- Warner Hospital and Health Services
- Decatur Memorial Hospital
- Saint Francis Medical Center
- Goldwater Care Clinton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Osf Healthcare - Medical Group - Clinton |
Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Dec 1, 2022 Dec 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060830000403 | IL | Practitioner - Family Practice | 2769486950 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116272 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Saint James Hospital | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Saint James Hospital | Current |
Accepting new patients | |
| Saint James Hospital | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1505 Eastland Dr
Ste 1100
Bloomington, IL 61701
Phone (309) 663-2100
1231 Kleemann Dr
Clinton, IL 61727
Phone (217) 935-5022
801 Fox Run
Heyworth, IL 61745
Phone (309) 473-2069
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Yes |
Addresses
Primary practice location
1231 Kleemann Dr
Clinton, IL 61727-2633
Mailing address
1231 Kleemann Dr
Clinton, IL 61727-2633
Phone (217) 935-5022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833120 | Other | IL | MEDICARE GROUP # |
| CA2264 | Other | RR GROUP # | |
| P00404448 | Other | RR INDIVIDUAL # |
Other providers in Clinton, IL
- Monica E. Misthal
- Chelsey Shantelle Morris
- Paramedic Services of Illinois Inc,
- Danna Elizabeth Powers
- Prescription Shoppe of Clinton Inc
- Echo Amanda Renee Redman
- Residential Alternatives of Illinois Inc
- Residential Alternatives of Illinois Inc
- Ariel Marie Rhoades
- Gary J Riegel
All providers in Clinton, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.