Individual provider Active NPI

Charles H. Raine, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Orangeburg, SC
National Provider Identifier
1255393211
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
14660 Issued in SC
Practice address
1146 Waring St
Orangeburg, SC 29115-4767
Phone
(803) 536-6339
Fax
(803) 536-6734
NPI assigned
Apr 5, 2006
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 14660 SC Primary

Addresses

Primary practice location

1146 Waring St
Orangeburg, SC 29115-4767

Mailing address

PO Box 1765
Orangeburg, SC 29116-1765
Phone (803) 536-6339

Other identifiers 1

IdentifierTypeStateIssuer
146602MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000090 SC Practitioner - Internal MedicinePractitioner - Endocrinology 4587603428 Practice locations: Orangeburg, SC

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Meharry Medical College School of Medicine, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1146 Waring St
Orangeburg, SC 29115-4767
Phone (803) 536-6339

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14660SCMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: diabetescontrolcenter.charleshraine@155738.advancedmd-direct.com

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1255393211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161765",
            "telephone_number": "803-536-6339",
            "fax_number": "803-536-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 WARING ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154767",
            "telephone_number": "803-536-6339",
            "fax_number": "803-536-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINE",
        "first_name": "CHARLES",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "14660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146602",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.