Individual provider Active NPI

Augusta Malin Rawlins-Rader, MD

  • Family Medicine Physician
  • Ft Wright, KY
National Provider Identifier
1811556012
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55673 Issued in KY
Practice address
1955 Dixie Hwy
Ft Wright, KY 41011-2792
Phone
(859) 341-5757
Fax
(859) 331-4757
NPI assigned
Jun 11, 2019
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 55673 KY Primary

Addresses

Primary practice location

1955 Dixie Hwy
Ft Wright, KY 41011-2792

Mailing address

2100 Sherman Ave FL 4
Cincinnati, OH 45212-2791
Phone (513) 351-9900

Other names 1

  • Dr. Augusta Malin Rawlins Rader Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221104001513 KY Practitioner - Family Practice 3870823842 Reassigns benefits to 1 organization
I20241125003450 OH Practitioner - Family Practice 3870823842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christ Hospital Medical Associates, II LLCGroup PAC ID 7012197619, 24 clinicians
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite D
Fort Wright, KY 41011-2882
Phone (859) 341-5757

2123 Auburn Ave
Suite 235
Cincinnati, OH 45219-2906
Phone (513) 585-3238

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Oct 2, 2024 Accepting new patients
Christ Hospital Medical Associates II, LLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients

Locations

1955 Dixie Hwy
Ft Wright, KY 41011
Phone (513) 721-7373

1955 Dixie Hwy
Ste D
Ft Wright, KY 41011
Phone (859) 341-5757

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2123 Auburn Ave
Ste 235
Cincinnati, OH 45219
Phone (513) 585-3238

2139 Auburn Ave
#47
Cincinnati, OH 45219

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1811556012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SHERMAN AVE FL 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122791",
            "telephone_number": "513-351-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HWY",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112792",
            "telephone_number": "859-341-5757",
            "fax_number": "859-331-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINS-RADER",
        "first_name": "AUGUSTA",
        "middle_name": "MALIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "55673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUGUSTA",
            "last_name": "RADER",
            "middle_name": "MALIN RAWLINS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.