Michael R Rader, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1026731A Issued in IN

Practice address

100 Pfizer Dr
Terre Haute, IN 47802-8019

Phone

(812) 299-2121

Fax

(812) 299-6123

NPI assigned

Apr 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ambucare Clinic

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1013907922
  Medicare reassignment NPD
• Susan Koslow M.D.,Inc

  • Radiology Clinic/Center
  • Terre Haute, IN
  • NPI 1497028989
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487618179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 WOODBINE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031759",
            "telephone_number": "812-239-2947",
            "fax_number": "812-299-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PFIZER DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028019",
            "telephone_number": "812-299-2121",
            "fax_number": "812-299-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "1026731A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R.Vedala and Associates, LLC
• Jennifer Raber, PTA
• Kaybrie Rackham
• Cheryl Lynn Rader, FNP
• Jasmine Rader, RBT
• Radiation Oncology Care PC
• Radiology Physician Solutions of Indiana PC
• Jazmine Ragland
• Tytus Ragle
• Emad Y Rahmani, M.D.

• Internal Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.