Individual provider Active NPI

Marius Racovan, MD

  • Rheumatology Physician
  • Rushville, IN
National Provider Identifier
1457567901
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01070519 Issued in IN
Practice address
110 E 13TH St
Rushville, IN 46173-2126
Phone
(765) 932-7063
Fax
(765) 932-7065
NPI assigned
May 14, 2007
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 01070519 IN Primary

Addresses

Primary practice location

110 E 13TH St
Rushville, IN 46173-2126

Mailing address

1300 N Main St
Rushville, IN 46173-1198
Phone (765) 932-4111

Other practice location 1

141 W 22nd St Ste 212
Anderson, IN 46016-4389
Phone (765) 648-4138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MariusRacovan@rushmemorial.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120703000203 IN Practitioner - RheumatologyPractitioner - Internal Medicine 8224223581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

110 E 13TH St
Rushville, IN 46173-2126
Phone (765) 932-7591

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070519INMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital CurrentSince Jun 1, 2022 Accepting new patients
Rush Memorial Hospital CurrentSince Jun 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

Interoperability endpoints

  • Direct secure messaging: marius.racovan.1@7598.direct.athenahealth.com
  • Direct secure messaging: mariusracovan@rushmemorial.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1457567901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 13TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732126",
            "telephone_number": "765-932-7063",
            "fax_number": "765-932-7065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W 22nd St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164389",
            "country_code": "US",
            "telephone_number": "765-648-4138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACOVAN",
        "first_name": "MARIUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01070519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MariusRacovan@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCDs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCDs",
            "address_1": "110 E 13th St",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461732126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.