Raymond Scott Nanko, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01045317A Issued in IN

Practice address

919 W Jackson St
Muncie, IN 47305-1554

Phone

(765) 288-3276

Fax

(765) 289-2389

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Anthony Akins, D.C.

  • Chiropractor
  • Muncie, IN
  • NPI 1093748584
  Medicare reassignment

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.

• Raymond S Nanko MD

  dba ActiveCare Medical

  • Interventional Pain Medicine Physician
  • Muncie, IN
  • NPI 1922362334
  NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1497782932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460380730",
            "telephone_number": "317-219-5409",
            "fax_number": "317-219-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051554",
            "telephone_number": "765-288-3276",
            "fax_number": "765-289-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANKO",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01045317A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01045317A",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IN",
            "license": "08001557A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042680A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200149200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Nahre, M.D.
• Haytham Nasser Najjar, MD
• Urooj Najm, MD
• Raghu Nallamothu, PHYSICAL THERAPIST
• Susanna Florence Nalliah I
• Shayleigh Narrod
• Sajjad Khalid Naseem, MD
• Pia Nathani, PHD, HSPP
• John Everett Nauman, R.PH.
• Antonio J Navarrete Casas, MD

• Interventional Pain Medicine Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.