Individual provider Active NPI

Kevin Jeremy Raef, D.C.

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1528348505
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11299 Issued in TX
Practice address
5701 W Interstate 40
Amarillo, TX 79106-4619
Phone
(806) 358-3595
Fax
(806) 358-4647
NPI assigned
Aug 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11299 TX Primary

Addresses

Primary practice location

5701 W Interstate 40
Amarillo, TX 79106-4619

Mailing address

5701 W Interstate 40
Amarillo, TX 79106-4619
Phone (806) 358-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000285 TX Practitioner - Chiropractic 9133374275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Multicare Clinic IncGroup PAC ID 2163470675, 4 clinicians

Practice addresses (Care Compare)

5701 W Interstate 40
Precision Chiropractic
Amarillo, TX 79106-4619
Phone (806) 358-3595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11299TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Multicare Chiropractor CurrentSince Jul 9, 2013 Accepting new patients

Locations

5701 W Interstate 40
Amarillo, TX 79106
Phone (405) 358-3595

7 Medical Dr
Amarillo, TX 79106
Phone (806) 355-9355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528348505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W INTERSTATE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064619",
            "telephone_number": "806-358-3595",
            "fax_number": "806-358-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W INTERSTATE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064619",
            "telephone_number": "806-358-3595",
            "fax_number": "806-358-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEF",
        "first_name": "KEVIN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.