Individual provider Active NPI

Jon Rainey, MD

  • Internal Medicine Physician
  • Willoughby Hills, OH
National Provider Identifier
1730145103
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047208 Issued in OH
Practice address
34500 Chardon Rd Ste 6
Willoughby Hills, OH 44094-8239
Phone
(440) 386-4200
Fax
(440) 943-4184
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047208 OH Primary

Addresses

Primary practice location

34500 Chardon Rd Ste 6
Willoughby Hills, OH 44094-8239

Mailing address

34500 Chardon Rd Ste 6
Willoughby Hills, OH 44094-8239
Phone (440) 386-4200

Other identifiers 1

IdentifierTypeStateIssuer
0524589MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000068 OH Practitioner - Internal Medicine 4082684865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047208OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jan 22, 2020 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

5187 Mayfield Rd
Ste 20
Lyndhurst, OH 44124

34500 Chardon Rd
Willoughby Hills, OH 44094
Phone (440) 386-4200

34500 Chardon Rd
Ste 6
Willoughby Hills, OH 44094
Phone (440) 386-2009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1730145103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34500 CHARDON RD STE 6",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948239",
            "telephone_number": "440-386-4200",
            "fax_number": "440-943-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34500 CHARDON RD STE 6",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948239",
            "telephone_number": "440-386-4200",
            "fax_number": "440-943-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "047208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.