Active NPI
Robert Mackinnon Raulerson, M.D.
- General Practice Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 018874
- Practice address
- 920 Oliver Rd
Monroe, LA 71201-5702 - Phone
- (318) 807-4951
- Fax
- (318) 812-0808
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 018874 | LA | Primary |
Addresses
Primary practice location
920 Oliver Rd
Monroe, LA 71201-5702
Mailing address
3339 Deborah Dr
Monroe, LA 71201-2150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1374580 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- General Practice
- Education
- University of Miami, LM Miller School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Forsythe Byp
Suite 118
Monroe, LA 71201-2168
Phone (318) 737-1381
Hospital & facility affiliations
- Monroe Surgical Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018874 | LA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsythe Family Medical Clinic, LLC | Current | Accepting new patients | |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| St Francis ER Physicians | Past | Accepting new patients |
Locations
112 Saint John St
Monroe, LA 71201
Phone (318) 387-5681
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267
5000 Forsythe Byp
Ste 118
Monroe, LA 71201
Phone (318) 737-1381
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Monroe, LA
- NPI 1184173650
-
- Family Medicine Physician
- Monroe, LA
- NPI 1023291226
-
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
-
- Multi-Specialty Clinic/Center
- Monroe, LA
- NPI 1215031562
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1720021363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3339 DEBORAH DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712012150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 OLIVER RD",
"city": "MONROE",
"state": "LA",
"postal_code": "712015702",
"telephone_number": "318-807-4951",
"fax_number": "318-812-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAULERSON",
"first_name": "ROBERT",
"middle_name": "MACKINNON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "018874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1374580",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.