NPIMap

Individual provider Active NPI

Dennis C Rainey, MD

  • Emergency Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1689623282
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J3583 Issued in TX
Practice address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone
(409) 724-7389
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J3583 TX Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Mailing address

PO Box 8730
Fort Worth, TX 76124-0730
Phone (817) 451-4208

Other identifiers 3

IdentifierTypeStateIssuer
8EC252OtherTXBCBSTX
138320019MedicaidTX
8R9684OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040728001582 TX Practitioner - Emergency Medicine 1254301013 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Howard University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Port Lavaca LLCGroup PAC ID 2769766005, 17 clinicians

Practice addresses (Care Compare)

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3583TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Feb 18, 2017 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 20, 2017 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 20, 2017 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Apollo Physician of Texas PA Emergency Medicine Past Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Dallas PA Emergency Medicine Past Accepting new patients
Southeast Texas Imaging LLP Past Accepting new patients

Locations

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

608 Strickland Dr
Orange, TX 77630
Phone (409) 883-1248

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1689623282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8730",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761240730",
            "telephone_number": "817-451-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "DENNIS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J3583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8EC252",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138320019",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8R9684",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.