NPIMap

Individual provider Active NPI

Russell B. Rauls, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1356560692
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
E6542 Issued in AR
Practice address
3 Medical PLZ
Mountain Home, AR 72653-2918
Phone
(870) 424-3400
Fax
(870) 424-4121
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2010-00775 NC
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X E6542 AR Primary

Addresses

Primary practice location

3 Medical PLZ
Mountain Home, AR 72653-2918

Mailing address

3 Medical PLZ
Mountain Home, AR 72653-2918
Phone (870) 424-3400

Other identifiers 1

IdentifierTypeStateIssuer
440106101MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110831000613 AR Practitioner - Orthopedic Surgery 7719019835 Reassigns benefits to 1 organization
I20240919000645 MO Practitioner - Orthopedic Surgery 7719019835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Orthopaedic Health CareGroup PAC ID 1052446051, 5 clinicians

Practice addresses (Care Compare)

3 Medical PLZ
Mountain Home, AR 72653-2918
Phone 8704243400306

805 N Kentucky Ave
Suite 1
West Plains, MO 65775-2045
Phone (417) 256-2111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement28
Knee replacement68
Lower limb (leg) arthroscopy (minimally invasive joint repair)40
Upper limb (arm) arthroscopy (minimally invasive joint repair)54
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00775NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Orthopaedic Health Care Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3 Medical Plz
Mountain Home, AR 72653
Phone (870) 424-3181

805 N Kentucky Ave
Ste 1
West Plains, MO 65775
Phone (417) 256-2110

Organizations & group practices 2

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 7

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1356560692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-424-3400",
            "fax_number": "870-424-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-424-3400",
            "fax_number": "870-424-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULS",
        "first_name": "RUSSELL",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2010-00775",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AR",
            "license": "E6542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440106101",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.