Active NPI
Rainier Rakhar, PA-C
- Medical Physician Assistant
- Charlotte, NC
National Provider Identifier
1376648519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102501
- Practice address
- 3506 W Tyvola Rd
Charlotte, NC 28208-7201 - Phone
- (704) 329-1300
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102501 | FL | Primary |
Addresses
Primary practice location
3506 W Tyvola Rd
Charlotte, NC 28208-7201
Mailing address
738 Chaucer Cir
Fort Mill, SC 29708-6590
Phone (786) 261-8725
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | VA | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4727 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Jir Financial Group Inc | Past | Accepting new patients | |
| Janna Health Care Group LLC | Past | Accepting new patients | |
| Wheeler Peak Emergency Physicians LLC | Past | Accepting new patients |
Locations
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000
Organizations & group practices 8
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.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1508871948
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
dba Imed Urgent Care Center
- Urgent Care Clinic/Center
- Miami, FL
- NPI 1235239534
-
dba Imed Urgent Care
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1801075791
-
- Emergency Medicine Physician
- Brooksville, FL
- NPI 1104235027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1376648519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 CHAUCER CIR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086590",
"telephone_number": "786-261-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 W TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087201",
"telephone_number": "704-329-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKHAR",
"first_name": "RAINIER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "VA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3506 W Tyvola Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282087201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
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- Rajdeepsinh Dolia, DMD PLLC 3 (East Town Dental)
- Punam Vijaysing Rajput, MD
- Brittany Jenee Rakes
- Raleigh Durham Medical Group, PA (Larry F. Berman, MD, PC)
- Raleigh Neurosurgical Clinic, Inc.
- Camilla A Raley
- Tashana Raley
- Natalie Marie Rall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.