Individual provider Active NPI

Nathaniel Rawicki, MD

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1366971863
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
70864 Issued in MN
Practice address
7301 Hennessy Blvd Ste 200
Baton Rouge, LA 70808-4794
Phone
(225) 766-0050
Fax
(225) 766-1499
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 336295 LA
Orthopaedic Surgery Physician 207X00000X 70864 MN Primary

Addresses

Primary practice location

7301 Hennessy Blvd Ste 200
Baton Rouge, LA 70808-4794

Mailing address

8100 W 78TH St Ste 230
Edina, MN 55439-2570
Phone (952) 946-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230608001180 LA Practitioner - Orthopedic Surgery 8921476029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Center LLCGroup PAC ID 2769928746, 18 clinicians

Practice addresses (Care Compare)

9001 Summa Ave
Suite 346
Baton Rouge, LA 70809-3779
Phone (833) 774-6327

Hospital & facility affiliations

  • At Home Healthcare Home health agency, Ponchatoula, LA, CCN 197555
  • Cypress Pointe Surgical Hospital Hospital, Hammond, LA, CCN 190303
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion107
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336295LAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Center, LLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

7301 Hennessy Blvd
Ste 200
Baton Rouge, LA 70808
Phone (225) 766-0050

9001 Summa Ave
Ste 346
Baton Rouge, LA 70809
Phone (225) 515-5700

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1366971863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392570",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084794",
            "telephone_number": "225-766-0050",
            "fax_number": "225-766-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWICKI",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "LA",
            "license": "336295",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "70864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.