Active NPI
James R. J. Rayner, MD
- Emergency Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD11291
- Practice address
- 593 Eddy St
Claverick 2
Providence, RI 02903-4923 - Phone
- (401) 519-1604
- Fax
- (401) 272-0538
- NPI assigned
- Mar 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD11291 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Claverick 2
Providence, RI 02903-4923
Mailing address
PO Box 9484
Providence, RI 02940-9484
Phone (401) 854-2500
Other practice location 1
355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 415-9000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08-01-2007 | Other | RI | NHPRI |
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| 7056038 | Medicaid | RI | |
| 12/29/2009 | Other | MA | TUFTS HEALTH PLAN |
| 411945 | Other | RI | BLUE CHIP |
| 1994793018 | Other | RI | NPI |
| 2110130 | Medicaid | MA | |
| P00671203 | Other | RI | RAILROAD MEDICARE |
| 007057849 | Other | RI | RI MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 444-0570
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11291 | RI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Brown Emergency Medicine | Emergency Medicine | Current | Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| The Providence Community Health Centers, Inc | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Rhode Island Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Memorial Hospital | Past | Accepting new patients | |
| SHS Ventures, Inc | Past | Accepting new patients |
Locations
11 Friendship St
Ph
Newport, RI 02840
Phone (401) 845-1593
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
31 Atwood St
Providence, RI 02909
Phone (401) 415-9000
593 Eddy St
Providence, RI 02903
593 Eddy St
#2
Providence, RI 02903
Phone (401) 519-1604
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- jrayner12066@brownhealth.medalliesdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1962455022
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1053313593
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Emergency Medicine Physician
- Wakefield, RI
- NPI 1528009313
-
dba Primary Care Center of Plainville
- Family Medicine Physician
- Plainville, MA
- NPI 1194830323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1194793018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9484",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029409484",
"telephone_number": "401-854-2500",
"fax_number": "401-854-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-519-1604",
"fax_number": "401-272-0538"
}
],
"practiceLocations": [
{
"address_1": "355 Prairie Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029051928",
"country_code": "US",
"telephone_number": "401-415-9000",
"fax_number": "401-396-2084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYNER",
"first_name": "JAMES",
"middle_name": "R. J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD11291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "08-01-2007",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04/15/2009",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7056038",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "12/29/2009",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "411945",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1994793018",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2110130",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00671203",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE",
"identifier": "007057849",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.