Active NPI
Stephen Michael Rauh, M.D.
- Colon & Rectal Surgery Physician
- Rochester, NY
National Provider Identifier
1427018811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 155502
- Practice address
- 125 Lattimore Rd
Suite 270
Rochester, NY 14620-4159 - Phone
- (585) 244-5670
- Fax
- (585) 244-4298
- NPI assigned
- Mar 28, 2006
- Last updated
- Jan 29, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 155502 | NY | |
| Colon & Rectal Surgery Physician | 208C00000X | 155502 | NY | Primary |
Addresses
Primary practice location
125 Lattimore Rd
Suite 270
Rochester, NY 14620-4159
Mailing address
125 Lattimore Rd
Suite 270
Rochester, NY 14620-4159
Phone (585) 244-5670
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010155501 | Other | NY | BLUES |
| MD455F | Other | NY | PREFERRED CARE |
| 01074184 | Medicaid | NY | |
| 4655696 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155502 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1427018811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 LATTIMORE RD",
"address_2": "SUITE 270",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204159",
"telephone_number": "585-244-5670",
"fax_number": "585-244-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 LATTIMORE RD",
"address_2": "SUITE 270",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204159",
"telephone_number": "585-244-5670",
"fax_number": "585-244-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUH",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "155502",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "155502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUES",
"identifier": "P010155501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MD455F",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01074184",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4655696",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.