NPIMap

Individual provider Active NPI

J Randall Rauh, MD

  • Obstetrics & Gynecology Physician
  • Miles City, MT
National Provider Identifier
1649378530
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4606 Issued in MT
Practice address
330 Roger LN
Suite 4
Miles City, MT 59301-9239
Phone
(406) 234-7660
NPI assigned
Sep 21, 2006
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4606 MT Primary

Addresses

Primary practice location

330 Roger LN
Suite 4
Miles City, MT 59301-9239

Mailing address

330 Roger LN
Suite 4
Miles City, MT 59301-9239
Phone (406) 234-7660

Other identifiers 3

IdentifierTypeStateIssuer
0076993OtherMTMDCD PIN
113957600OtherWYMDCD PIN
000097685OtherMTBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001279 MT Practitioner - Obstetrics/GynecologyPractitioner - General Practice 9638071913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: General Practice
Education
University of Oklahoma College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of GarfieldGroup PAC ID 8325178551, 4 clinicians

Practice addresses (Care Compare)

330 Roger LN
Suite 4
Miles City, MT 59301-9239
Phone (406) 234-7660

332 Leavitt Ave
Jordan, MT 59337-0389
Phone (406) 557-2500

PO Box
Suite 389
Jordan, MT 59337-0389

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4606MTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Garfield Current Accepting new patients
County of Garfield CurrentSince May 1, 2017 Accepting new patients
J Randall Rauh MD Inc CurrentSince Jul 17, 2016 Accepting new patients
County of Garfield CurrentSince May 1, 2017 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

330 Roger Ln
Ste 4
Miles City, MT 59301
Phone (406) 232-7660

Interoperability endpoints

  • Direct secure messaging: jrandallrauh@133020.advancedmd-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1649378530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ROGER LN",
            "address_2": "SUITE 4",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593019239",
            "telephone_number": "406-234-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ROGER LN",
            "address_2": "SUITE 4",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593019239",
            "telephone_number": "406-234-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUH",
        "first_name": "J",
        "middle_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0076993",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "113957600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000097685",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.