Active NPI
Robert Neal Rayder, MD
- Emergency Medicine Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31662
- Practice address
- 7691 Poplar Ave
Attn: Emergency Room
Germantown, TN 38138-3904 - Phone
- (901) 268-7400
- NPI assigned
- Jul 29, 2005
- Last updated
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31662 | TN | Primary |
Addresses
Primary practice location
7691 Poplar Ave
Attn: Emergency Room
Germantown, TN 38138-3904
Mailing address
8010 Stage Hills Blvd
Bartlett, TN 38133-4032
Phone (901) 291-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3846787 | Medicaid | TN | |
| P00178651 | Other | RR MEDICARE PTAN | |
| 3496121 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Carr PLLC | Emergency Medicine | Current | Accepting new patients |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| C. Ferrell Varner MD, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
Organizations & group practices 6
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.
-
dba Sound Physicians Emergency of Greater Memphis
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1346242385
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1043202088
-
dba MLH Shelby Oaks Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1225723133
-
dba Le Bonheur Children's Hospital ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1245383355
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1700886926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 STAGE HILLS BLVD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334032",
"telephone_number": "901-291-2400",
"fax_number": "901-379-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE",
"address_2": "ATTN: EMERGENCY ROOM",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-268-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYDER",
"first_name": "ROBERT",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "31662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3846787",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P00178651",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3496121",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.