Marcus Ervin Raines, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01062393A Issued in IN

Practice address

2121 Lake Ave
Fort Wayne, IN 46805-5100

Phone

(260) 460-1347

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, OH2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a5287c52-a68a-471c-ad99-6b7cc3d9fc8e/

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.

• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  Medicare reassignment NPD
• Mercy Emergency Care Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1477957819
  Medicare reassignment NPD
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  IN

  Medicare reassignment
• Emergency Medicine of Indiana

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1952356883
  NPD (past)
• Innovative Hospital Care Inc

  • Hospitalist Physician
  • Peru, IN
  • NPI 1427298330
  NPD (past)
• Mid State Logansport Ed Physicians

  • Emergency Medicine Physician
  • Logansport, IN
  • NPI 1831233287
  NPD (past)
• Wabash Em I Medical Services PC

  • Physician Assistant
  • Logansport, IN
  • NPI 1013110295
  NPD (past)
• Adel Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Adel, GA
  • NPI 1124042734
  NPD (past)
• Del Medical Associates Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1942480850
  NPD (past)
• Dennis R Thomas MD PC

  • Family Medicine Physician
  • Valdosta, GA
  • NPI 1396015343
  NPD (past)
• Early Memorial Hospital

  • Critical Access Hospital
  • Blakely, GA
  • NPI 1548214018
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1376582544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 COUNTY ROAD 427",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069619",
            "telephone_number": "912-288-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055100",
            "telephone_number": "260-460-1347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N High School Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462143695",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_2": "st 2121",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-7937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINES",
        "first_name": "MARCUS",
        "middle_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01062393A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200825050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00388839",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald J. Rahrig, DDS
• Pradip Rai
• Paul J. Raiman, M.D.
• Desiree Raines, RBT
• Jeanne Kay Raines, MS (MHC), NCC, LMHC
• Naomi C. Rainwater, MS, LMFT
• Raj Clinics Professional Services Corporation
• Pranita Rajbhandari, MD
• Ravi D Raju, MD
• Savithri Sagi Raju, DDS

• Emergency Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.