Individual provider Active NPI

Stephen Randolph Rauls, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1346248671
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
67750 Issued in TN
Practice address
880 Madison Ave
Memphis, TN 38103-3409
Phone
(901) 515-3500
Fax
(901) 545-3509
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C 5444 AR
Obstetrics & Gynecology Physician 207V00000X 67750 TN Primary

Addresses

Primary practice location

880 Madison Ave
Memphis, TN 38103-3409

Mailing address

877 Jefferson Avenue
Attn: Provider Enrollment
Memphis, TN 38103-2807
Phone (901) 545-6286

Other practice location 1

505 E Matthews Ave
Ste 203
Jonesboro, AR 72401-3144
Phone (870) 268-9727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191231000560 NC Practitioner - Obstetrics/Gynecology 5597791566 Reassigns benefits to 1 organization
I20230728001554 TN Practitioner - Obstetrics/Gynecology 5597791566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969

Hospital & facility affiliations

  • Regional One Health Hospital, Memphis, TN, CCN 440152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Obstetrics & Gynecology CurrentSince Nov 26, 2019 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 26, 2019 Accepting new patients
Ut Regional One Physicians Inc Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jun 1, 2023 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Stephen Rauls, MD PLLC, LLC PastSince Jan 1, 1990 Accepting new patients
Shelby County Health Care Corporation Past Accepting new patients
Carl Edwards, MD, PLC Past Accepting new patients

Locations

1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500

300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035

300 Medical Pavilion Dr
Ste 250
Raeford, NC 28376
Phone (910) 904-8035

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Interoperability endpoints

  • Direct secure messaging: srauls75426@capefearvalley.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1346248671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVENUE",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-545-6286",
            "fax_number": "901-545-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033409",
            "telephone_number": "901-515-3500",
            "fax_number": "901-545-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Matthews Ave",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013144",
            "country_code": "US",
            "telephone_number": "870-268-9727",
            "fax_number": "870-268-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAULS",
        "first_name": "STEPHEN",
        "middle_name": "RANDOLPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C 5444",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "67750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.