NPIMap

Individual provider Active NPI

Douglas Andrew Rahner

  • Family Medicine Physician
  • Marathon, NY
National Provider Identifier
1790773745
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
189310 Issued in NY
Practice address
20 East Main Street
Marathon, NY 13803
Phone
(607) 849-3271
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 189310 NY Primary

Addresses

Primary practice location

20 East Main Street
Marathon, NY 13803

Mailing address

85 South West Street
Homer, NY 13077
Phone (607) 753-3797

Other identifiers 1

IdentifierTypeStateIssuer
02673729MedicaidNY

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)
CONNECT URL Homer Health Information Exchange (HIE)
CONNECT URL Homer Health Information Exchange (HIE)
CONNECT URL Homer Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050810000975 NY Practitioner - Family Practice 1557390408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Network of Central New York, Inc. 20 clinicians

Practice addresses (Care Compare)

4038 W Rd
Cortland, NY 13045-1842
Phone (607) 758-3008

Hospital & facility affiliations

  • HCR Home Care Home health agency, East Syracuse, NY, CCN 337119
  • Guthrie Home Health Home health agency, Cortland, NY, CCN 337449
  • Hospicare & Palliative Care Services Hospice, Ithaca, NY, CCN 331512
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. Family Medicine CurrentSince Jun 20, 2005 Accepting new patients
Family Health Network of Central New York, Inc. CurrentSince Jun 20, 2005 Accepting new patients
Guthrie Cortland Medical Center Past Accepting new patients

Locations

4038 West Rd
Cortland, NY 13045
Phone (607) 758-3008

85 S West St
Homer, NY 13077
Phone (607) 753-3797

Interoperability endpoints

  • Direct secure messaging: douglas.rahner.1@28343.direct.athenahealth.com

Organizations & group practices 8

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 9

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1790773745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTH WEST STREET",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "13077",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST MAIN STREET",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "13803",
            "telephone_number": "607-849-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNER",
        "first_name": "DOUGLAS",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "189310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673729",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4038 West Rd",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "23 Central St",
            "city": "Moravia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131187709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20 East Main Street",
            "city": "Marathon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2805 Cincinnatus Rd",
            "city": "Cincinnatus",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, NY

Sources for this page

Verify at the official NPI Registry.