Individual provider Active NPI

Edward P Raines, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Norfolk, NE
National Provider Identifier
1568414258
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
18481 Issued in NE
Practice address
110 N 29TH St
Ste 302
Norfolk, NE 68701-4424
Phone
(402) 844-8242
Fax
(402) 844-8233
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18481 NE
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 18481 NE Primary

Addresses

Primary practice location

110 N 29TH St
Ste 302
Norfolk, NE 68701-4424

Mailing address

5348 Wildcat CT
Morrison, CO 80465-2197
Phone (402) 730-9232

Other names 1

  • Dr. Edward P Raines Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20061127000390 NE Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 6002814142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18481NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Surgery CurrentSince Jul 1, 2021 Accepting new patients
Integrated Cardiology Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Mar 17, 2024 Accepting new patients
The Physician Network Surgery PastSince Sep 1, 2011 Accepting new patients

Locations

3219 Central Ave
Kearney, NE 68847
Phone (308) 865-2263

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

Interoperability endpoints

  • Direct secure messaging: eraines22312@ouhealth.direct-ci.net

Organizations & group practices 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1568414258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5348 WILDCAT CT",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804652197",
            "telephone_number": "402-730-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "STE 302",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-8242",
            "fax_number": "402-844-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "EDWARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "18481",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NE",
            "license": "18481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "RAINES",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.