Michael David Rader, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18832 Issued in OK

Practice address

1121 W 3Rd St
Elk City, OK 73644-5103

Phone

(580) 243-3376

Fax

(580) 243-3377

NPI assigned

Oct 18, 2005

Last updated

Oct 24, 2008By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Dermatology

Education

University of Oklahoma College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: doc@rader.emadirect.md

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.

• Michael D. Rader M.D., P.C.

  • Dermatology Physician
  • Elk City, OK
  • NPI 1710066345
  Medicare reassignment NPD Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1619966108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445103",
            "telephone_number": "580-243-3376",
            "fax_number": "580-243-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445103",
            "telephone_number": "580-243-3376",
            "fax_number": "580-243-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "18832",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OK",
            "license": "18832",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OK",
            "license": "18832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Physician Staffing PLLC
• PTMS 3.0, LLC (Physical Therapy Central of Elk City)
• Peggy S Puckett, MS, LPC-CANDIDATE
• Rad RX
• Bennett Michael Rader, DPT
• Kylee Raelyn Ramirez, APRN-CNP
• Rosanna Rae Ramos
• Sue Ann Raney, A.R.N.P.
• Samantha Lynn Rayl
• Red Rock Behavioral Health Services

• Dermatology Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.